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CHUBINIDZEMD. PLLC

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Company Details

Name: CHUBINIDZEMD. PLLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 14 Aug 2012 (13 years ago)
Organization Date: 14 Aug 2012 (13 years ago)
Last Annual Report: 22 May 2024 (a year ago)
Managed By: Members
Organization Number: 0835818
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 40026
City: Goshen
Primary County: Oldham County
Principal Office: 1306 Old Taylor Trail, 1306 Old Taylor Trail, Goshen KY, Goshen KY, KY 40026
Place of Formation: KENTUCKY

Registered Agent

Name Role
Omari Chubinidze Registered Agent

Organizer

Name Role
OMARI CHUBINIDZE Organizer

Member

Name Role
omari chubinidze Member

National Provider Identifier

NPI Number:
1760739908
Certification Date:
2024-07-17

Authorized Person:

Name:
DR. OMARI CHUBINIDZE
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
163W00000X - Registered Nurse
Is Primary:
No
Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Filings

Name File Date
Annual Report 2024-05-22
Reinstatement 2023-10-18
Registered Agent name/address change 2023-10-18
Principal Office Address Change 2023-10-18
Reinstatement Certificate of Existence 2023-10-18

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Sources: Kentucky Secretary of State