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ASSOCIATES IN DERMATOLOGY PLLC

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Company Details

Name: ASSOCIATES IN DERMATOLOGY PLLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
File Date: 25 Jul 1995 (30 years ago)
Organization Date: 25 Jul 1995 (30 years ago)
Last Annual Report: 18 Mar 2024 (a year ago)
Managed By: Members
Organization Number: 0403360
Industry: Health Services
Number of Employees: Large (100+)
ZIP code: 40241
City: Louisville, Barbourmeade, Broeck Pointe, Brownsboro ...
Primary County: Jefferson County
Principal Office: 3810 SPRINGHURST BLVD, SUITE 200, LOUISVILLE, KY 40241
Place of Formation: KENTUCKY

Member

Name Role
Michael W McCall, MD Member
Mark T Haeberle, ME Member
Megan B Vissing Member
Soon Bahrami, MD Member
Timothy S Brown, MD Member
Cindy E Owen, MD Member
Courtney R Schadt, MD Member
Ashley D Brown, MD Member
Virginia N Kartha Member
Janine C Malone, MC Member

Organizer

Name Role
SCOTT W. DOLSON Organizer

Registered Agent

Name Role
VCT SERVICES LOUISVILLE LLC Registered Agent

U.S. Small Business Administration Profile

Phone Number:
Fax Number:
502-585-4645
Contact Person:
AL APPEL
Ownership and Self-Certifications:
Woman Owned
User ID:
P1136770

Unique Entity ID

Unique Entity ID:
HLSEC5UCCQM3
CAGE Code:
324K2
UEI Expiration Date:
2026-01-10

Business Information

Activation Date:
2025-01-14
Initial Registration Date:
2004-10-25

Commercial and government entity program

CAGE number:
324K2
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2025-01-14
CAGE Expiration:
2030-01-14
SAM Expiration:
2026-01-10

Contact Information

POC:
AL APPEL
Corporate URL:
http://www.associatesindermatology.com/

National Provider Identifier

NPI Number:
1629083399
Certification Date:
2020-07-15

Authorized Person:

Name:
JYOTI BURRUSS
Role:
PARTNER
Phone:

Taxonomy:

Selected Taxonomy:
207ND0900X - Dermatopathology Physician
Is Primary:
No
Selected Taxonomy:
363A00000X - Physician Assistant
Is Primary:
No
Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
207N00000X - Dermatology Physician
Is Primary:
Yes

Contacts:

Fax:
5023298184

Form 5500 Series

Employer Identification Number (EIN):
611085679
Plan Year:
2019
Number Of Participants:
111
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
115
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
97
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
93
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
89
Sponsors Telephone Number:

Assumed Names

Name Status Expiration Date
EAST LOUISVILLE DERMATOLOGY Active 2030-02-12
AESTHETIC ALTERNATIVES, LLC Inactive 2020-04-03
AID DERMATOPATHOLOGY LABORATORY Inactive 2019-12-10
AESTHETIC LASER & SURGERY CENTER OF KENTUCKY Inactive 2003-10-19

Filings

Name File Date
Certificate of Assumed Name 2025-02-12
Annual Report 2024-03-18
Annual Report 2023-02-28
Annual Report 2022-02-07
Annual Report 2021-02-17

USAspending Awards / Contracts

Procurement Instrument Identifier:
36C24925N0451
Award Or Idv Flag:
AWARD
Award Type:
DELIVERY ORDER
Action Obligation:
340183.19
Base And Exercised Options Value:
340183.19
Base And All Options Value:
340183.19
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2025-04-01
Description:
DERMATOLOGY SERVICES ON SITE SERVICES PERIOD OF PERFORMANCE 4-1-2025 THROUGH 3-31-2026.
Naics Code:
611310: COLLEGES, UNIVERSITIES, AND PROFESSIONAL SCHOOLS
Product Or Service Code:
Q504: MEDICAL- DERMATOLOGY
Procurement Instrument Identifier:
36C24925D0052
Award Or Idv Flag:
IDV
Action Obligation:
0.00
Base And All Options Value:
340183.19
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2025-04-01
Description:
DERMATOLOGY SERVICES ON SITE
Naics Code:
611310: COLLEGES, UNIVERSITIES, AND PROFESSIONAL SCHOOLS
Product Or Service Code:
Q504: MEDICAL- DERMATOLOGY
Procurement Instrument Identifier:
36C24924N0531
Award Or Idv Flag:
AWARD
Award Type:
DELIVERY ORDER
Action Obligation:
0.00
Base And Exercised Options Value:
0.00
Base And All Options Value:
0.00
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2024-04-01
Description:
DERMATOLOGY SERVICES FOR ROBLEY REX VAMC - CPT CODE ADDITION
Naics Code:
611310: COLLEGES, UNIVERSITIES, AND PROFESSIONAL SCHOOLS
Product Or Service Code:
Q504: MEDICAL- DERMATOLOGY

USAspending Awards / Financial Assistance

Date:
2021-02-01
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
1778700.00
Total Face Value Of Loan:
1778700.00
Date:
2020-04-07
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
1507900.00
Total Face Value Of Loan:
1507900.00

Paycheck Protection Program

Jobs Reported:
136
Initial Approval Amount:
$1,778,700
Date Approved:
2021-02-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$1,778,700
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$1,786,704.15
Servicing Lender:
Republic Bank & Trust Company
Use of Proceeds:
Payroll: $1,778,695
Utilities: $1
Jobs Reported:
148
Initial Approval Amount:
$1,507,900
Date Approved:
2020-04-05
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$1,507,900
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$1,516,444.77
Servicing Lender:
Republic Bank & Trust Company
Use of Proceeds:
Payroll: $1,507,900

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Sources: Kentucky Secretary of State