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MOBILE MD HOLDINGS, LLC

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Company Details

Name: MOBILE MD HOLDINGS, LLC
Legal type: Foreign Limited Liability Company
Status: Inactive
Standing: Good
Profit or Non-Profit: Profit
File Date: 24 Jun 2005 (20 years ago)
Authority Date: 24 Jun 2005 (20 years ago)
Last Annual Report: 20 Sep 2010 (15 years ago)
Organization Number: 0616169
ZIP code: 40223
City: Louisville, Anchorage, Blue Rdg Mnr, Blue Ridge Mano...
Primary County: Jefferson County
Principal Office: ATTN: ROBIN BARBER, 9510 ORMSY STATION RD., STE 101, LOUISVILLE, KY 40223
Place of Formation: DELAWARE

Manager

Name Role
W. PATRICK MULLOY Manager
J. TIMOTHY WESLEY Manager
ROBIN L BARBER Manager

Signature

Name Role
Robin L. Barber Signature

Registered Agent

Name Role
KY SECRETARY OF STATE Registered Agent

Organizer

Name Role
EPI HEALTHCARE, LLC Organizer

National Provider Identifier

NPI Number:
1023187234

Authorized Person:

Name:
DONNA CANTWELL
Role:
EXECUTIVE DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
363LA2200X - Adult Health Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
207QG0300X - Geriatric Medicine (Family Medicine) Physician
Is Primary:
Yes

Contacts:

Fax:
5022534144

Assumed Names

Name Status Expiration Date
MOBILE MD Inactive 2010-11-18

Filings

Name File Date
App. for Certificate of Withdrawal 2010-11-23
Principal Office Address Change 2010-09-20
Annual Report 2010-09-20
Annual Report Return 2010-03-19
Annual Report 2009-06-26

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Sources: Kentucky Secretary of State