| Name: | Coastal ASC, LLC |
| Jurisdiction: | Alaska |
| Legal type: | Limited Liability Company |
| Status: | Good Standing |
| Date of registration: | 03 Jun 2021 (4 years ago) |
| Entity Number: | 10165324 |
| ZIP code: | 99503 |
| County: | Anchorage |
| Place of Formation: | ALASKA |
| Address: | 188 WEST NORTHERN LIGHTS STE 110, ANCHORAGE, AK 99503 |
| Mailing Address: | 188 WEST NORTHERN LIGHTS , STE 110, ANCHORAGE, AK 99503 |
Line of Business
62 Health Care and Social AssistanceNAICS
621493 FREESTANDING AMBULATORY SURGICAL AND EMERGENCY CENTERS| Name | Role |
|---|---|
| Scot D. Hines | Registered Agent |
| Susanne E. Fix, M.D. | Member |
| Samuel Waller, M.D. | Member |
| Richard Perrin, M.D. | Member |
| Susanne E. Fix, M.D. | Manager |
| Type | License Number | Status | Date of issue | Date of renewal | Expiration date | Description |
|---|---|---|---|---|---|---|
| Business License | 2133347 | Active | 2021-06-03 | 2022-10-19 | 2024-12-31 | LOB: 62 - Health Care and Social Assistance, NAICS: 621493 - FREESTANDING AMBULATORY SURGICAL AND EMERGENCY CENTERS |
| Drug Room | 203937 | Active | 2023-01-03 | - | 2026-06-30 | - |
Date of last update: 13 Jan 2025
Sources: State of Alaska - Department of Commerce, Community, and Economic Development
