| Name: | Fairbanks Medical Imaging, LLC |
| Jurisdiction: | Alaska |
| Legal type: | Limited Liability Company |
| Status: | Good Standing |
| Date of registration: | 15 Nov 2010 (14 years ago) |
| Entity Number: | 131792 |
| Place of Formation: | WASHINGTON |
| Address: | 125 N 18TH ST, STE C, MOUNT VERNON, WA 98273 |
| Mailing Address: | 125 N. 18TH STREET STE. C, MOUNT VERNON, WA 98273 |
Line of Business
62 Health Care and Social AssistanceNAICS
621512 DIAGNOSTIC IMAGING CENTERS| Name | Role |
|---|---|
| Skagit Radiology, Inc. PS | Member |
| JESSE KINCAID | Registered Agent |
| Unique Entity ID | Expiration Date | Physical Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LGRZGN5DJ5T8 | 2023-05-10 | 2310 PEGER RD, STE 102, FAIRBANKS, AK, 99709, 5305, USA | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Doing Business As | NORTH STAR RADIOLOGY |
| Division Name | SKAGIT RADIOLOGY |
| Division Number | SKAGIT RAD |
| Congressional District | 00 |
| State/Country of Incorporation | AK, USA |
| Activation Date | 2022-05-19 |
| Initial Registration Date | 2020-12-14 |
| Entity Start Date | 2011-01-01 |
| Fiscal Year End Close Date | Jan 01 |
Service Classifications
| NAICS Codes | 621512 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | KIM DENMARK |
| Address | PO BOX 2803, MOUNT VERNON, WA, 98273, USA |
| Title | ALTERNATE POC |
| Name | KIM DENMARK |
| Address | PO BOX 2803, MOUNT VERNON, WA, 98273, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | KIM DENMARK |
| Address | PO BOX 2803, MOUNT VERNON, WA, 98273, USA |
| Title | ALTERNATE POC |
| Name | KIM DENMARK |
| Address | PO BOX 2803, MOUNT VERNON, WA, 98273, USA |
| Past Performance | |
|---|---|
| Title | PRIMARY POC |
| Name | KIM DENMARK |
| Address | PO BOX 2803, MOUNT VERNON, WA, 98273, USA |
| Title | ALTERNATE POC |
| Name | KIM DENMARK |
| Address | PO BOX 2803, MOUNT VERNON, WA, 98273, USA |
| License Number | Type | Status | Issue Date | Date of renewal | Expiration date | Description |
|---|---|---|---|---|---|---|
| 950750 | Business License | Active | 2010-11-15 | 2024-12-12 | 2026-12-31 | LOB: 62 - Health Care and Social Assistance, NAICS: 621512 - DIAGNOSTIC IMAGING CENTERS |
Date of last update: 22 Jan 2025
Sources: State of Alaska - Department of Commerce, Community, and Economic Development
