| Name: | Liberty Dialysis - Alaska, LLC |
| Jurisdiction: | Alaska |
| Legal type: | Limited Liability Company |
| Status: | Good Standing |
| Date of registration: | 08 Dec 2017 (7 years ago) |
| Entity Number: | 10073294 |
| Place of Formation: | DELAWARE |
| Address: | 5851 LEGACY CIRCLE STE 900, SUITE 900, PLANO, TX 75024-5982 |
| Mailing Address: | PO BOX 251549, PLANO, TX 75025-1500 |
Line of Business
62 Health Care and Social AssistanceNAICS
621492 KIDNEY DIALYSIS CENTERS| Name | Role |
|---|---|
| Silverlake Investments, LLC | Member |
| USRC Pacific, LLC | Manager |
| USRC Pacific, LLC | Member |
| Regina Dahl | Member |
| Mary Dittrich | Member |
| C T Corporation System | Registered Agent |
| Kelli Emili, M.D. | Member |
| CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 5WGT1 | Active | Non-Manufacturer | 2010-02-22 | 2014-08-15 | - | - | |||||||||||||||
|
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| POC | EILEEN SIDDELL |
| Phone | +1 480-455-1616 |
| Fax | +1 480-455-1666 |
| Address | 901 E DIMOND BLVD STE G, ANCHORAGE, AK, 99515 0000, UNITED STATES |
Ownership of Offeror Information
| Highest Level Owner | - |
|---|
| Immediate Level Owner | - |
|---|
| List of Offerors (0) | - |
|---|
| Type | License Number | Status | Date of issue | Date of renewal | Expiration date | Description |
|---|---|---|---|---|---|---|
| Business License | 2093700 | Active | 2019-10-14 | 2023-10-26 | 2025-12-31 | LOB: 62 - Health Care and Social Assistance, NAICS: 621492 - KIDNEY DIALYSIS CENTERS |
| Drug Room | 166256 | Active | 2020-08-17 | - | 2026-06-30 | - |
| Telemedicine Business Registry | 203683 | Active | 2022-12-23 | - | - | - |
Date of last update: 11 Jan 2025
Sources: State of Alaska - Department of Commerce, Community, and Economic Development
