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WASHINGTON NUCLEAR MEDICINE, LLC

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Company Details

Legal Name: WASHINGTON NUCLEAR MEDICINE, LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: December 24th 2013
Expiration date: 31 Dec 2025
UBI Number: 603 361 121
ZIP code: 98166
City: Seattle
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 16243 25TH AVE SW, BURIEN, WA, 98166-2611, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $5,563

Contact Details

E-Mail: ANDREWSHIELDSMD@GMAIL.COM
Phone Number: +1 206-963-5339

Nature of Business

Any Lawful Purpose, Professional, Scientific & Technical Services

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Registered Agent Information

Name Role Address
KEVIN D RAINGE Registered Agent 4219 S 168TH LN, SEATAC, WA, 98188-3113, UNITED STATES

Key Officers & Management

Name Role Address
ANDREW SHIELDS Governing Person 16243 25TH AVE, BURIEN, WA, 98166, UNITED STATES

National Provider Identifier

NPI Number:
1043632821

Authorized Person:

Name:
ANDREW THOMAS SHIELDS
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207UN0901X - Nuclear Cardiology Physician
Is Primary:
No
Selected Taxonomy:
207UN0902X - Nuclear Imaging & Therapy Physician
Is Primary:
Yes

Contacts:

Fax:
2532882203
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