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EUGENE GILES, SR., M.D., P.S.C.

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Company Details

Name: EUGENE GILES, SR., M.D., P.S.C.
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
Organization Date: 05 Jan 1993 (33 years ago)
Last Annual Report: 29 Sep 2022 (3 years ago)
Organization Number: 0309489
ZIP code: 40211
City: Louisville
Primary County: Jefferson County
Principal Office: 2746 VIRGINIA AVE., LOUISVILLE, KY 40211
Place of Formation: KENTUCKY
Authorized Shares: 1000

Registered Agent

Name Role
EUGENE GILES, SR., M.D. Registered Agent

Director

Name Role
EUGENE GILES, SR., M.D. Director

Sole Officer

Name Role
Eugene Giles, Sr Sole Officer

Shareholder

Name Role
Eugene Giles, Sr Shareholder

Incorporator

Name Role
EUGENE GILES, SR., M.D. Incorporator

National Provider Identifier

NPI Number:
1629153705

Authorized Person:

Name:
EUGENE GILES SR.
Role:
SOLO MEMBER OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
No
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
5027721761

Assumed Names

Name Status Expiration Date
OMNI MEDICAL CENTER P.S.C Inactive 2023-02-08
OMNI MEDICAL CENTER, PSC Inactive 2008-07-15

Filings

Name File Date
Administrative Dissolution 2023-10-04
Reinstatement 2022-09-29
Registered Agent name/address change 2022-09-29
Reinstatement Certificate of Existence 2022-09-29
Reinstatement Certificate of Existence 2022-09-29

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Sources: Kentucky Secretary of State