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BELLEFONTE PATHOLOGY AND LABORATORY MEDICINE, PSC

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Company Details

Name: BELLEFONTE PATHOLOGY AND LABORATORY MEDICINE, PSC
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 01 Oct 2004 (21 years ago)
Organization Date: 01 Oct 2004 (21 years ago)
Last Annual Report: 20 Jun 2019 (6 years ago)
Organization Number: 0596226
ZIP code: 41101
City: Ashland, Summitt, Westwood
Primary County: Boyd County
Principal Office: OUR LADY OF BELLEFONTE HOSPITAL LAB, ST. CHRISTOPHER DRIVE, ASHLAND, KY 41101
Place of Formation: KENTUCKY
Authorized Shares: 1000

Registered Agent

Name Role
Dinsmore Agent Co. Registered Agent

Sole Officer

Name Role
GABRIEL A RODRIGUEZ Sole Officer

Director

Name Role
GABRIEL A RODRIGUEZ Director

Shareholder

Name Role
GABRIEL A RODRIGUEZ Shareholder

Incorporator

Name Role
JAMES R. MORRIS Incorporator

National Provider Identifier

NPI Number:
1578589685

Authorized Person:

Name:
DR. JAMES R MORRIS
Role:
LABORATORY MEDICAL DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
207ZP0102X - Anatomic Pathology & Clinical Pathology Physician
Is Primary:
Yes

Contacts:

Fax:
5024564440
Fax:
6068369914

Form 5500 Series

Employer Identification Number (EIN):
201720760
Plan Year:
2019
Number Of Participants:
1
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
1
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
1
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
1
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
2
Sponsors Telephone Number:

Filings

Name File Date
Administrative Dissolution Return 2020-12-16
Administrative Dissolution 2020-10-08
Sixty Day Notice Return 2020-08-24
Annual Report 2019-06-20
Annual Report 2018-07-02

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Sources: Kentucky Secretary of State