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LAKE CUMBERLAND CARDIOVASCULAR ASSOCIATES, PLLC

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Company Details

Name: LAKE CUMBERLAND CARDIOVASCULAR ASSOCIATES, PLLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 22 May 2003 (22 years ago)
Organization Date: 22 May 2003 (22 years ago)
Last Annual Report: 19 Jul 2013 (12 years ago)
Managed By: Managers
Organization Number: 0560614
ZIP code: 42503
City: Somerset
Primary County: Pulaski County
Principal Office: 349 BOGLE STREET, SOMERSET, KY 42503
Place of Formation: KENTUCKY

Registered Agent

Name Role
JOSEPH C BENTON ESQUIRE Registered Agent

Manager

Name Role
Robert W Cameron Manager

Organizer

Name Role
ROBERT W CAMERON MD Organizer

National Provider Identifier

NPI Number:
1740492651

Authorized Person:

Name:
DR. ROBERT WILLIAM CAMERON
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207RC0000X - Cardiovascular Disease Physician
Is Primary:
Yes

Contacts:

Fax:
6064519450

Form 5500 Series

Employer Identification Number (EIN):
141879871
Plan Year:
2013
Number Of Participants:
17
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
17
Sponsors Telephone Number:
Plan Year:
2012
Number Of Participants:
17
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
17
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
17
Sponsors Telephone Number:

Filings

Name File Date
Administrative Dissolution 2014-09-30
Annual Report 2013-07-19
Annual Report 2012-04-05
Annual Report 2011-03-30
Annual Report 2010-03-31

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Sources: Kentucky Secretary of State