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CORBIN RADIOLOGY, PLLC

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Company Details

Name: CORBIN RADIOLOGY, PLLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
File Date: 02 Jan 1997 (29 years ago)
Organization Date: 02 Jan 1997 (29 years ago)
Last Annual Report: 25 Jun 2019 (6 years ago)
Managed By: Members
Organization Number: 0426415
ZIP code: 40701
City: Corbin, Keavy, Woodbine
Primary County: Whitley County
Principal Office: 614 CECIL WYATT RD., CORBIN, KY 40701
Place of Formation: KENTUCKY

Registered Agent

Name Role
WILLIAM T. DANIEL, II, M.D. Registered Agent

Member

Name Role
William T Daniel II Member
Harold W. Reedy Member
Lonnie J. Bargo Member

Organizer

Name Role
WILLIAM T. DANIEL, II, M Organizer

National Provider Identifier

NPI Number:
1700986924

Authorized Person:

Name:
DR. WILLIAM T DANIEL II
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
2085R0202X - Diagnostic Radiology Physician
Is Primary:
Yes

Contacts:

Fax:
8592232732

Filings

Name File Date
Administrative Dissolution 2020-10-08
Annual Report 2019-06-25
Annual Report 2018-04-16
Annual Report 2017-05-04
Annual Report 2016-07-25

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Sources: Kentucky Secretary of State