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UNIVERSITY CHILDREN'S SLEEP MEDICINE SPECIALISTS, LLC

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Company Details

Name: UNIVERSITY CHILDREN'S SLEEP MEDICINE SPECIALISTS, LLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Good
Profit or Non-Profit: Profit
File Date: 25 Aug 2006 (19 years ago)
Organization Date: 25 Aug 2006 (19 years ago)
Last Annual Report: 23 Apr 2014 (11 years ago)
Managed By: Members
Organization Number: 0645740
ZIP code: 40201
City: Louisville
Primary County: Jefferson County
Principal Office: P.O. BOX 1207, LOUISVILLE, KY 40201
Place of Formation: KENTUCKY

Organizer

Name Role
GERARD P. RABALAIS Organizer

Member

Name Role
University Pediatrics Foundation, Inc. Member

Registered Agent

Name Role
500 WEST JEFFERSON STREET, LLC Registered Agent

National Provider Identifier

NPI Number:
1669508016

Authorized Person:

Name:
DR. GERARD P RABALAIS
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207RS0012X - Sleep Medicine (Internal Medicine) Physician
Is Primary:
No
Selected Taxonomy:
2084S0012X - Sleep Medicine (Psychiatry & Neurology) Physician
Is Primary:
No
Selected Taxonomy:
208000000X - Pediatrics Physician
Is Primary:
No
Selected Taxonomy:
2080P0214X - Pediatric Pulmonology Physician
Is Primary:
No
Selected Taxonomy:
207QS1201X - Sleep Medicine (Family Medicine) Physician
Is Primary:
No
Selected Taxonomy:
103T00000X - Psychologist
Is Primary:
No
Selected Taxonomy:
2080S0012X - Pediatric Sleep Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
5025880326
Fax:
5025882221

Assumed Names

Name Status Expiration Date
U OF L PEDIATRICS-SLEEP SPECIALIST Inactive 2015-09-13

Filings

Name File Date
Agent Resignation 2016-02-08
Dissolution 2014-12-31
Annual Report 2014-04-23
Annual Report 2013-06-10
Annual Report 2012-04-20

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Sources: Kentucky Secretary of State