0001479532-21-000001.txt : 20210505 0001479532-21-000001.hdr.sgml : 20210505 20210505171553 ACCESSION NUMBER: 0001479532-21-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210505 DATE AS OF CHANGE: 20210505 EFFECTIVENESS DATE: 20210505 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Northwest Urological Services, LLC CENTRAL INDEX KEY: 0001479532 IRS NUMBER: 742909000 STATE OF INCORPORATION: WA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-398406 FILM NUMBER: 21894555 BUSINESS ADDRESS: STREET 1: 9825 SPECTRUM DRIVE STREET 2: BUILDING 3 CITY: AUSTIN STATE: TX ZIP: 78717-4930 BUSINESS PHONE: 866-598-2734 MAIL ADDRESS: STREET 1: 9825 SPECTRUM DRIVE STREET 2: BUILDING 3 CITY: AUSTIN STATE: TX ZIP: 78717-4930 D 1 primary_doc.xml X0708 D LIVE 0001479532 Northwest Urological Services, LLC 9825 SPECTRUM DRIVE BUILDING 3 AUSTIN TX TEXAS 78717-4930 866-598-2734 WASHINGTON None None Limited Liability Company true Sun Medical Technologies Inc. 9825 Spectrum Dr Bldg 3 Austin TX TEXAS 78717 Executive Officer Management Agent Other Health Care Decline to Disclose 06b false 2021-05-05 false true false 6473 43152 43152 0 false 2 0 0 0 false Northwest Urological Services, LLC Debra J Scott Debra J. Scott VP of Management Agent 2021-05-05