Search icon

BLUE MOUNTAIN MEDICAL CLINIC, PLLC

Company claim

Is this your business?

Get access!

Company Details

Name: BLUE MOUNTAIN MEDICAL CLINIC, PLLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 12 Jan 2018 (8 years ago)
Organization Date: 12 Jan 2018 (8 years ago)
Last Annual Report: 16 Jan 2019 (7 years ago)
Managed By: Members
Organization Number: 1007596
ZIP code: 40965
City: Middlesboro
Primary County: Bell County
Principal Office: 1814 CUMBERLAND AVENUE, MIDDLESBORO, KY 40965
Place of Formation: KENTUCKY

Registered Agent

Name Role
MAZHAR SALIM, M.D. Registered Agent

Organizer

Name Role
MAZHAR SALIM, M.D. Organizer

Member

Name Role
Mahzar Salim Member

National Provider Identifier

NPI Number:
1023538758

Authorized Person:

Name:
TINA POORE
Role:
OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
6062422520

Filings

Name File Date
Administrative Dissolution 2020-10-08
Annual Report 2019-01-16
Articles of Organization (LLC) 2018-01-12

Reviews Leave a review

This company hasn't received any reviews.

Sources: Kentucky Secretary of State