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LAKE CUMBERLAND CARDIOLOGY ASSOCIATES, LLC

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Company Details

Name: LAKE CUMBERLAND CARDIOLOGY ASSOCIATES, LLC
Legal type: Foreign Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 14 Aug 2009 (16 years ago)
Authority Date: 14 Aug 2009 (16 years ago)
Last Annual Report: 28 Jun 2024 (a year ago)
Organization Number: 0737286
Industry: Health Services
Number of Employees: Small (0-19)
Principal Office: 330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027
Place of Formation: DELAWARE

Member

Name Role
Lifepoint of Lake Cumberland, LLC Member

Organizer

Name Role
MARY KIM E. SHIPP Organizer

Manager

Name Role
Lifepoint of Lake Cumberland, LLC Manager

Registered Agent

Name Role
C T CORPORATION SYSTEM Registered Agent

National Provider Identifier

NPI Number:
1558695262
Certification Date:
2021-07-06

Authorized Person:

Name:
KATHY TEAGUE
Role:
CORPORATE SECRETARY
Phone:

Taxonomy:

Selected Taxonomy:
207RC0000X - Cardiovascular Disease Physician
Is Primary:
No
Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
207RC0001X - Clinical Cardiac Electrophysiology Physician
Is Primary:
Yes

Contacts:

Fax:
6066780608

Assumed Names

Name Status Expiration Date
CARDIOLOGY & ELECTROPHYSIOLOGY SPECIALIST OF LAKE CUMBERLAND Inactive 2014-09-22

Filings

Name File Date
Name Renewal 2025-02-04
Annual Report 2024-06-28
Annual Report 2023-05-11
Annual Report 2022-04-22
Annual Report 2021-06-09

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Sources: Kentucky Secretary of State