UROLOGY ASSOCIATES, LTD. P.S.

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Company Details

Legal Name:	UROLOGY ASSOCIATES, LTD. P.S.
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL SERVICE CORPORATION
Category:	DOMESTIC ENTITY
Status:	Administratively Dissolved
Formation/ Registration Date:	August 3rd 1972
Date of Dissolution:	April 5th 2016
Expiration date:	31 Aug 2016
UBI Number:	600 078 505

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Registered Agent Information

Name	Role	Address
MARK S PECKLER	Registered Agent	3525 ENSIGN RD NE STE A, OLYMPIA, WA, 98506-5065, UNITED STATES

Key Officers & Management

Name	Role	Address
DAVID WARD	Governing Person	PO BOX 12839, OLYMPIA, WA, 98508, UNITED STATES
MARK PECKLER	Governing Person	PO BOX 12839, OLYMPIA, WA, 98508, UNITED STATES

National Provider Identifier

NPI Number:

1699701292

Link:

View on NPI website

Authorized Person:

Name:

DR. MARK S PECKLER

Role:

PRESIDENT

Phone:

3604564666

Taxonomy:

Selected Taxonomy:

208800000X - Urology Physician

Is Primary:

Yes

Contacts:

Phone:

+1 360-456-4666

Fax:

3604591566

Form 5500 Series

Employer Identification Number (EIN):

910885520

Plan Year:

2015

Number Of Participants:

1

Sponsor's telephone number:

3604564666

File:

Plan Administrator / Signatory:

MARK PECKLER(Plan administrator)

Plan Year:

2014

Number Of Participants:

13

Sponsor's telephone number:

3604564666

File:

Plan Administrator / Signatory:

MARK PECKLER(Plan administrator)

Plan Year:

2013

Number Of Participants:

11

Sponsor's telephone number:

3604564666

File:

Plan Administrator / Signatory:

MARK PECKLER(Plan administrator)

Plan Year:

2013

Number Of Participants:

14

Sponsor's telephone number:

3604564666

File:

Plan Administrator / Signatory:

MARK PECKLER(Plan administrator)

Plan Year:

2013

Number Of Participants:

11

Sponsor's telephone number:

3604564666

File:

Plan Administrator / Signatory:

MARK PECKLER(Plan administrator)

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