WASHINGTON UROLOGY ASSOCIATES, PLLC

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Company Details

Legal Name:	WASHINGTON UROLOGY ASSOCIATES, PLLC
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category:	DOMESTIC ENTITY
Status:	Administratively Dissolved
Formation/ Registration Date:	September 2nd 2010
Date of Dissolution:	February 3rd 2022
Expiration date:	30 Sep 2021
UBI Number:	603 045 273
ZIP code:	98004
City:	Bellevue
County:	KING
Home State:	WASHINGTON
Principal Office Street Address:	1135 116TH AVE NE STE 620, BELLEVUE, WA, 98004-4636, UNITED STATES
Supporting healthcare providers fighting with COVID-19:	$117,612

Contact Details

E-Mail:	BCARTER@WAUROLOGY.COM
Phone Number:	+1 623-694-6482

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name	Role	Address
BRENDA CARTER	Registered Agent	1135 116TH AVE NE STE 620, BELLEVUE, WA, 98004-4636, UNITED STATES

Key Officers & Management

Name	Role
MARTIN WALL	Governing Person
ELIZABETH MILLER	Governing Person
BRENDA CARTER	Governing Person

National Provider Identifier

NPI Number:

1730496092

Link:

View on NPI website

Authorized Person:

Name:

BRENDA CARTER

Role:

CEO

Phone:

4254548016

Taxonomy:

Selected Taxonomy:

261QA1903X - Ambulatory Surgical Clinic/Center

Is Primary:

Yes

Contacts:

Phone:

+1 425-454-8016

Fax:

4254532827

Form 5500 Series

Employer Identification Number (EIN):

273331851

Plan Year:

2016

Number Of Participants:

60

Plan Name:

401(K)

Sponsor's telephone number:

4255988537

File:

Plan Administrator / Signatory:

BRENDA CARTER(Plan administrator) BRENDA CARTER(Employer/plan sponsor)

Plan Year:

2015

Number Of Participants:

61

Plan Name:

401(K)

Sponsor's telephone number:

4254548016

File:

Plan Administrator / Signatory:

LORINDA WISDOM(Plan administrator)

Plan Year:

2014

Number Of Participants:

53

Plan Name:

401(K)

Sponsor's telephone number:

4252891320

File:

Plan Administrator / Signatory:

LORINDA WISDOM(Plan administrator)

Plan Year:

2013

Number Of Participants:

57

Plan Name:

401(K)

Sponsor's telephone number:

4254548016

File:

Plan Administrator / Signatory:

LORINDA WISDOM(Plan administrator)

Plan Year:

2012

Number Of Participants:

29

Plan Name:

401(K)

Sponsor's telephone number:

4254548016

File:

Plan Administrator / Signatory:

LORINDA WISDOM(Plan administrator)

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