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TRIDENTUSA MOBILE CLINICAL SERVICES, LLC

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Company Details

Name: TRIDENTUSA MOBILE CLINICAL SERVICES, LLC
Legal type: Foreign Limited Liability Company
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 28 Mar 2014 (11 years ago)
Authority Date: 28 Mar 2014 (11 years ago)
Last Annual Report: 02 Jun 2021 (4 years ago)
Organization Number: 0883384
Principal Office: 930 RIDGEBROOK ROAD, 3RD FLOOR, SPARKS, MD 21152
Place of Formation: DELAWARE

Registered Agent

Name Role
KY SECRETARY OF STATE Registered Agent

Manager

Name Role
David Velez Manager
Brian Cuomo Manager

National Provider Identifier

NPI Number:
1942554837
Certification Date:
2022-08-25

Authorized Person:

Name:
JOY L STEVENS
Role:
DIRECTOR OF REVENUE ASSURANCE
Phone:

Taxonomy:

Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
5029968282

Filings

Name File Date
Revocation of Certificate of Authority 2022-10-04
Annual Report 2021-06-02
Annual Report 2020-06-17
Annual Report 2019-06-28
Annual Report 2018-05-23

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Sources: Kentucky Secretary of State