WESTERN WASHINGTON PATHOLOGY, P.S.

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Company Details

Legal Name:	WESTERN WASHINGTON PATHOLOGY, P.S.
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL SERVICE CORPORATION
Category:	DOMESTIC ENTITY
Status:	Active
Formation/ Registration Date:	November 3rd 1987
Expiration date:	30 Nov 2025
UBI Number:	601 053 749
ZIP code:	98405
City:	Tacoma
County:	PIERCE
Home State:	WASHINGTON
Principal Office Street Address:	315 MARTIN LUTHER KING JR WAY, TACOMA, WA, 98405-4234, UNITED STATES
Supporting healthcare providers fighting with COVID-19:	$116,070

Contact Details

E-Mail:	ROB.ROTH@MULTICARE.ORG
Phone Number:	+1 253-403-1043

Nature of Business

Professional, Scientific & Technical Services

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Registered Agent Information

Name	Role	Address
ROB R ROTH MD	Registered Agent	315 MARTIN L KING JR WAY, TACOMA, WA, 98405-0000, UNITED STATES

Key Officers & Management

Name	Role	Address
LARRY O BRYANT	Governing Person	-
WILLIAM SIMONSON	Governing Person	-
MICHAEL PETERSON	Governing Person	-
NEELIMA KANDULA	Governing Person	-
SARAH ROONEY	Governing Person	-
ROB ROTH	Governing Person	315 MARTIN LUTHER KING JR WAY, MS: 315-P4-LAB-WWP, TACOMA, WA, 98405-4234, UNITED STATES

National Provider Identifier

NPI Number:

1073650610

Link:

View on NPI website

Authorized Person:

Name:

DR. ROB ROY ROTH

Role:

SECRETARY

Phone:

2534031043

Taxonomy:

Selected Taxonomy:

207ZP0102X - Anatomic Pathology & Clinical Pathology Physician

Is Primary:

Yes

Contacts:

Phone:

+1 253-403-1043

Fax:

2534031357

Form 5500 Series

Employer Identification Number (EIN):

911397408

Plan Year:

2023

Number Of Participants:

11

Plan Name:

401(K)

Sponsor's telephone number:

2534031043

File:

Plan Administrator / Signatory:

ROB ROTH(Plan administrator)

Plan Year:

2022

Number Of Participants:

10

Plan Name:

401(K)

Sponsor's telephone number:

2534031043

File:

Plan Administrator / Signatory:

ROB R. ROTH(Plan administrator) ROB R. ROTH(Employer/plan sponsor)

Plan Year:

2021

Number Of Participants:

10

Plan Name:

401(K)

Sponsor's telephone number:

2534031043

File:

Plan Administrator / Signatory:

ROB R. ROTH(Plan administrator) ROB R. ROTH(Employer/plan sponsor)

Plan Year:

2020

Number Of Participants:

9

Plan Name:

401(K)

Sponsor's telephone number:

2534031043

File:

Plan Administrator / Signatory:

ROB R. ROTH(Plan administrator) ROB R. ROTH(Employer/plan sponsor)

Plan Year:

2019

Number Of Participants:

11

Plan Name:

401(K)

Sponsor's telephone number:

2534031043

File:

Plan Administrator / Signatory:

ROB R. ROTH(Plan administrator) ROB R. ROTH(Employer/plan sponsor)

Paycheck Protection Program

Jobs Reported:

11

Initial Approval Amount:

$320,000

Date Approved:

2020-04-27

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$320,000

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$323,377.78

Servicing Lender:

Seattle Bank

Use of Proceeds:

Payroll: $320,000

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