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PROFESSIONAL MEDICAL SUPPLY, LLC

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Company Details

Name: PROFESSIONAL MEDICAL SUPPLY, LLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 14 Jul 1999 (26 years ago)
Organization Date: 14 Jul 1999 (26 years ago)
Last Annual Report: 29 Jan 2025 (4 months ago)
Managed By: Managers
Organization Number: 0477153
Industry: Miscellaneous Retail
Number of Employees: Small (0-19)
ZIP code: 42503
City: Somerset
Primary County: Pulaski County
Principal Office: 342 BOGLE ST., SOMERSET, KY 42503
Place of Formation: KENTUCKY

Manager

Name Role
Edward P Russell Manager
Denise Phillips Manager

Registered Agent

Name Role
EDWARD RUSSELL Registered Agent

Organizer

Name Role
TERESA KING Organizer

National Provider Identifier

NPI Number:
1932106663

Authorized Person:

Name:
FREDDY C MULLINS
Role:
MGR OWNER
Phone:

Taxonomy:

Selected Taxonomy:
332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary:
Yes

Contacts:

Fax:
6064511959

Licenses

Department License Number License Type / Line of Authority Status Issue Date Effective Date Inactive Date Expiry Date Address
Department of Professional Licensing 170000 Home Medical Equipment and Services Provider Active 2013-11-06 - - 2026-09-30 342 Bogle St, Ste 1, Somerset, KY 42503
Department of Professional Licensing 169816 Home Medical Equipment and Services Provider Expired 2012-09-07 - - 2013-11-06 342 Bogle St, Ste 1, Somerset, KY 42503

Former Company Names

Name Action
REQUEST, LLC Old Name

Assumed Names

Name Status Expiration Date
PROFESSIONAL MEDICAL SUPPLY Inactive 2004-11-09

Filings

Name File Date
Annual Report 2025-01-29
Annual Report 2024-06-12
Annual Report 2023-05-18
Annual Report 2022-05-16
Annual Report 2021-02-09

USAspending Awards / Financial Assistance

Date:
2020-05-01
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
5000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-04-30
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:
19978.00
Total Face Value Of Loan:
19978.00

Paycheck Protection Program

Date Approved:
2020-04-30
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
19978
Current Approval Amount:
19978
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
20094.28

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Sources: Kentucky Secretary of State