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SPECIALITY CLINICS OF THE BLUEGRASS, LLC

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Company Details

Name: SPECIALITY CLINICS OF THE BLUEGRASS, LLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 09 Apr 2004 (21 years ago)
Organization Date: 09 Apr 2004 (21 years ago)
Last Annual Report: 17 Aug 2021 (4 years ago)
Managed By: Managers
Organization Number: 0583377
ZIP code: 40523
City: Lexington
Primary County: Fayette County
Principal Office: P. O. BOX 23823, LEXINGTON, KY 40523
Place of Formation: KENTUCKY

Member

Name Role
Ann S Giles Member
Lu Anne Wallace Member

Organizer

Name Role
FOSTER OCKERMAN, JR. Organizer

Registered Agent

Name Role
FOSTER OCKERMAN, JR. Registered Agent

National Provider Identifier

NPI Number:
1053605063

Authorized Person:

Name:
MS. ANN S GILES
Role:
CEO/MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
363LP0200X - Pediatric Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
208000000X - Pediatrics Physician
Is Primary:
Yes

Contacts:

Fax:
8593038852
Fax:
8592761096

Former Company Names

Name Action
PEDIATRIC SPECIALTY CLINIC, LLC Old Name

Assumed Names

Name Status Expiration Date
THOROUGHBRED FAMILY PRACTICE Inactive 2019-12-30
PEDIATRIC CARE OF THE BLUEGRASS Inactive 2018-02-15
PEDIATRIC CARE OF LEXINGTON Inactive 2016-05-09

Filings

Name File Date
Administrative Dissolution 2022-10-04
Annual Report 2021-08-17
Annual Report 2020-06-30
Annual Report 2019-06-27
Annual Report 2018-06-28

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Sources: Kentucky Secretary of State