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Louisville Retina, PLLC

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Company Details

Name: Louisville Retina, PLLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 22 Sep 2021 (4 years ago)
Organization Date: 22 Sep 2021 (4 years ago)
Last Annual Report: 02 Aug 2024 (a year ago)
Managed By: Members
Organization Number: 1169679
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 40217
City: Louisville, Parkway Village, Parkway Vlg
Primary County: Jefferson County
Principal Office: 1169 EASTERN PARKWAY SUITE 3323, LOUISVILLE, KY 40217
Place of Formation: KENTUCKY

Registered Agent

Name Role
FMD-ASP, LLC Registered Agent

Member

Name Role
Anupa Mandava Member

Organizer

Name Role
Anupa Mandava Organizer

National Provider Identifier

NPI Number:
1215691308
Certification Date:
2022-02-03

Authorized Person:

Name:
ANUPA MANDAVA
Role:
MD
Phone:

Taxonomy:

Selected Taxonomy:
207W00000X - Ophthalmology Physician
Is Primary:
Yes

Contacts:

Fax:
5028730950

Filings

Name File Date
Annual Report 2024-08-02
Annual Report 2023-08-22
Principal Office Address Change 2022-03-31
Annual Report 2022-03-31

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Sources: Kentucky Secretary of State