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PRESTON STATION OCCUPATIONAL HEALTH SERVICES, P.S.C.

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Company Details

Name: PRESTON STATION OCCUPATIONAL HEALTH SERVICES, P.S.C.
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 08 Jan 2002 (24 years ago)
Organization Date: 08 Jan 2002 (24 years ago)
Last Annual Report: 02 Jul 2020 (5 years ago)
Organization Number: 0528513
ZIP code: 40059
City: Prospect, River Bluff
Primary County: Jefferson County
Principal Office: 6503 MOUNT BATTEN COURT, PROSPECT, KY 40059
Place of Formation: KENTUCKY
Authorized Shares: 1000

Shareholder

Name Role
MARY V. BRILLIANT Shareholder

Treasurer

Name Role
MARY V. BRILLIAN Treasurer

President

Name Role
MARY V BRILLIANT President

Vice President

Name Role
MARY V. BRILLIANT Vice President

Incorporator

Name Role
PETER J URDA Incorporator

Secretary

Name Role
MARY V. BRILLIANT Secretary

Registered Agent

Name Role
PETER J. URDA Registered Agent

National Provider Identifier

NPI Number:
1477721801

Authorized Person:

Name:
DR. PETER URDA
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
2083X0100X - Occupational Medicine Physician
Is Primary:
No
Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
5024992198
Fax:
5023754331

Assumed Names

Name Status Expiration Date
RIVER CITY HEALTH SERVICES P.S.C. Inactive 2013-06-12

Filings

Name File Date
Administrative Dissolution 2021-10-19
Principal Office Address Change 2020-07-24
Annual Report 2020-07-02
Annual Report 2019-04-17
Annual Report 2018-04-26

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Sources: Kentucky Secretary of State