UROLOGIC NORTHWEST SURGEONS, P.S.

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Company Details

Legal Name:	UROLOGIC NORTHWEST SURGEONS, P.S.
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL SERVICE CORPORATION
Category:	DOMESTIC ENTITY
Status:	Administratively Dissolved
Formation/ Registration Date:	July 25th 2002
Date of Dissolution:	November 2nd 2015
Expiration date:	31 Jul 2015
UBI Number:	602 222 609

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Registered Agent Information

Name	Role	Address
ANNE KIM	Registered Agent	316 S MLK JR WAY #312, TACOMA, WA, 98405, UNITED STATES

Key Officers & Management

Name	Role	Address
ANNE KIM	Governing Person	316 MILK JR WAY 312, TACOMA, WA, 98405, UNITED STATES
FRANCIS KIM	Governing Person	316MLK JR WAY SUITE 312, TACOMA, WA, 98405, UNITED STATES

National Provider Identifier

NPI Number:

1265575336

Link:

View on NPI website

Authorized Person:

Name:

DR. FRANCIS YOUNG-JIN KIM

Role:

PRESIDENT

Phone:

2533834404

Taxonomy:

Selected Taxonomy:

208800000X - Urology Physician

Is Primary:

Yes

Contacts:

Phone:

+1 253-383-4404

Fax:

2532725177

Form 5500 Series

Employer Identification Number (EIN):

912178541

Plan Year:

2015

Number Of Participants:

6

Sponsor's telephone number:

2533834404

File:

Plan Year:

2015

Number Of Participants:

9

Plan Name:

RETIREMENT PLAN

Sponsor's telephone number:

2533834404

File:

Plan Year:

2014

Number Of Participants:

6

Sponsor's telephone number:

2533834404

File:

Plan Administrator / Signatory:

FRANCIS KIM(Plan administrator)

Plan Year:

2014

Number Of Participants:

9

Plan Name:

RETIREMENT PLAN

Sponsor's telephone number:

2533834404

File:

Plan Administrator / Signatory:

FRANCIS KIM(Plan administrator)

Plan Year:

2013

Number Of Participants:

6

Sponsor's telephone number:

2533834404

File:

Plan Administrator / Signatory:

FRANCIS KIM(Plan administrator)

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