0002-EX-MN-2016

Filing overview

442 application form

Is applicant a foreign government or a representative of a foreign government?

NO

442 application form - Application for Medical Testing License

Applicant (Company) Name:

Medical Test

Applicant's FCC Registration Number (FRN):

0004979480

Attention To:

test

City:

test

Country (If not the United States):

US

E-mail Address:

test@t.com

P.O. Box:

test

State:

Alaska

Street Address:

test

Zip Code:

21045

442 application form - Authorized Party to Sign

Signature Date:

2016-08-15 12:54:17.146

Signature of Applicant (Authorized person filing application):

test

Title of Person Signing Application:

test

442 application form - Eligibility Questions

Applicant affirms that they are a health care facility as defined in section 95.1103(b) of the Commission ’s rules

YES

Will this license involve clinical testing trials

YES

442 application form - Give the following information of person who can best handle inquiries pertaining to this application:

First Name:

test

Last Name:

test

Phone Number:

4103705496

Title:

test

442 application form - Initial values - Application for Medical Testing License

Applicant (Company) Name:

Test

442 application form - Initial values - Authorized Party to Sign

Signature Date:

2016-08-15 12:56:58.596

442 application form - Insert a short description of the purpose of this application, or for modifications describe what is being modified.

Narrative Comment:

test

442 application form - Location Information

City:

washington

County:

DIST OF COLUMBIA

North Latitude:

38 ° 53 ' 4 "

State:

Dist of Columbia

Street Address:

445 12th Street SW

West Longitude:

77 ° 1 ' 43 "

442 application form - Medical Testing License Questions

Do you intend to operate on commercial mobile radio service (CMRS)?

NO

Do you intend to operate on public safety frequencies?

NO

Do you intend to use any of the federal exclusive and shared frequencies?

NO

Grant actions

Notes

Documents