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LOUISVILLE SURGICAL BARIATRIC ASSOCIATES, P.S.C.

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Company Details

Name: LOUISVILLE SURGICAL BARIATRIC ASSOCIATES, P.S.C.
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Good
Profit or Non-Profit: Profit
File Date: 06 Jan 2004 (22 years ago)
Organization Date: 06 Jan 2004 (22 years ago)
Last Annual Report: 29 Apr 2011 (14 years ago)
Organization Number: 0575789
ZIP code: 40215
City: Louisville
Primary County: Jefferson County
Principal Office: 4402 CHURCHMAN AVENUE, SUITE 202, LOUISVILLE, KY 40215
Place of Formation: KENTUCKY
Authorized Shares: 1000

Vice President

Name Role
JOSEPH M BLANDFORD, JR Vice President

Director

Name Role
JOSEPH M BLANDFORD JR. Director
JOEL P GARMON Director
JOHN N OLSOFKA Director
VINCENT C LUSCO Director
BRYCE E SCHUSTER Director
ROBERT C STEWART Director

Registered Agent

Name Role
DAVID B. BLANDFORD Registered Agent

President

Name Role
JOHN N OLSOFKA President

Secretary

Name Role
JOEL P GARMON Secretary

Shareholder

Name Role
JOSEPH M BLANDFORD, JR. Shareholder
JOEL P GARMON Shareholder
JOHN N OLSOFKA Shareholder
VINCENT C LUSCO, III Shareholder
BRYCE E SCHUSTER Shareholder
ROBERT C STEWART Shareholder

Incorporator

Name Role
JOSEPH M. BLANDFORD JR MD Incorporator

National Provider Identifier

NPI Number:
1679668636

Authorized Person:

Name:
RODNEY D MCMILLIN
Role:
PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
208600000X - Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
5023661564

Filings

Name File Date
Dissolution 2012-02-20
Annual Report 2011-04-29
Principal Office Address Change 2010-05-11
Annual Report 2010-05-11
Annual Report 2009-05-06

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Sources: Kentucky Secretary of State