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FAMILY DERMATOLOGY AND DERMATOPATHOLOGY, PLLC

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Company Details

Name: FAMILY DERMATOLOGY AND DERMATOPATHOLOGY, PLLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 03 Feb 2015 (10 years ago)
Organization Date: 03 Feb 2015 (10 years ago)
Last Annual Report: 18 Feb 2025 (4 months ago)
Managed By: Managers
Organization Number: 0909370
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 40220
City: Louisville, Cambridge, Houston Acres, Hurstbourne Ac...
Primary County: Jefferson County
Principal Office: 2307 GREENE WAY, LOUISVILLE, KY 40220
Place of Formation: KENTUCKY

Member

Name Role
TIMOTHY J BURCH Member

Organizer

Name Role
THE SKIN GROUP, PLLC Organizer

Registered Agent

Name Role
ANDREA S. BURCH Registered Agent

Manager

Name Role
ANDREA S. BURCH, MD Manager

National Provider Identifier

NPI Number:
1023409612
Certification Date:
2024-09-20

Authorized Person:

Name:
MR. TJ BURCH
Role:
OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
207ND0900X - Dermatopathology Physician
Is Primary:
No
Selected Taxonomy:
363A00000X - Physician Assistant
Is Primary:
No
Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
207ND0900X - Dermatopathology Physician
Is Primary:
Yes

Contacts:

Fax:
5024950156

Form 5500 Series

Employer Identification Number (EIN):
352525826
Plan Year:
2021
Number Of Participants:
21
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
14
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
15
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
14
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
14
Sponsors Telephone Number:

Former Company Names

Name Action
DERMATOPATHOLOGY CONSULTANTS OF KENTUCKY, PLLC Old Name
DERMATOPATHOLOGY CONSULTANTS, PLLC Old Name

Assumed Names

Name Status Expiration Date
FAMILY DERMATOLOGY Expiring 2025-07-25
DERMATOPATHOLOGY CONSULTANTS Inactive 2025-02-05

Filings

Name File Date
Annual Report 2025-02-18
Annual Report 2024-03-20
Annual Report 2023-03-20
Annual Report Amendment 2022-12-30
Principal Office Address Change 2022-11-15

USAspending Awards / Financial Assistance

Date:
2020-04-15
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
74500.00
Total Face Value Of Loan:
74500.00

Paycheck Protection Program

Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
74500
Current Approval Amount:
74500
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
74849.74

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Sources: Kentucky Secretary of State