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CORBIN-LONDON MEDICAL ASSOCIATES, LLC

Company Details

Name: CORBIN-LONDON MEDICAL ASSOCIATES, LLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 07 Sep 2006 (19 years ago)
Organization Date: 07 Sep 2006 (19 years ago)
Last Annual Report: 01 Aug 2014 (11 years ago)
Managed By: Members
Organization Number: 0646593
ZIP code: 40741
City: London, Marydell, Sasser, Tuttle
Primary County: Laurel County
Principal Office: 1007 CUMBERLAND FALLS HWY, CORBIN, KY 40741
Place of Formation: KENTUCKY

Organizer

Name Role
JONATHAN MOORE, D.P.M. Organizer

Manager

Name Role
Jonathan Moore Manager

Registered Agent

Name Role
JONATHAN MOORE, D.P.M. Registered Agent

National Provider Identifier

NPI Number:
1689848525

Authorized Person:

Name:
DR. JONATHAN E. MOORE
Role:
PRESIDENT/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
No
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
No
Selected Taxonomy:
208100000X - Physical Medicine & Rehabilitation Physician
Is Primary:
No
Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
6065234368

Former Company Names

Name Action
CUMBERLAND DIABETIC AND INTERNAL MEDICINE ASSOCIATES, INC. Old Name

Filings

Name File Date
Administrative Dissolution 2015-09-12
Annual Report 2014-08-01
Annual Report 2013-06-25
Annual Report 2012-03-23
Annual Report 2011-05-11

Sources: Kentucky Secretary of State