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Bluegrass Vein Clinic, LLC

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Company Details

Name: Bluegrass Vein Clinic, LLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 29 May 2020 (5 years ago)
Organization Date: 29 May 2020 (5 years ago)
Last Annual Report: 15 Sep 2023 (2 years ago)
Managed By: Members
Organization Number: 1098577
ZIP code: 42141
City: Glasgow, Lamb
Primary County: Barren County
Principal Office: 106 Trigg Ct, Glasgow, KY 42141
Place of Formation: KENTUCKY

Organizer

Name Role
James Isenberg Organizer
Danielle Isenberg Organizer

Registered Agent

Name Role
KEEPING IT, LLC Registered Agent

Member

Name Role
James Isenberg Member
Danielle Isenberg Member

National Provider Identifier

NPI Number:
1508483512
Certification Date:
2021-11-18

Authorized Person:

Name:
JULIE SCHOENBAECHLER
Role:
CREDENTIALING SPECIALIST
Phone:

Taxonomy:

Selected Taxonomy:
101Y00000X - Counselor
Is Primary:
No
Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
5802979310

Assumed Names

Name Status Expiration Date
BLUEGRASS CARE CLINIC Active 2027-03-08

Filings

Name File Date
Administrative Dissolution 2024-10-12
Annual Report 2023-09-15
Unhonored Check Letter 2023-07-14
Annual Report 2022-06-22
Certificate of Assumed Name 2022-03-08

USAspending Awards / Financial Assistance

Date:
2020-06-29
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
4000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

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Sources: Kentucky Secretary of State