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EAST LOUISVILLE PEDIATRICS P.S.C.

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Company Details

Name: EAST LOUISVILLE PEDIATRICS P.S.C.
Legal type: Kentucky Professional Services Corp
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 22 Aug 2023 (2 years ago)
Organization Date: 22 Aug 2023 (2 years ago)
Last Annual Report: 27 Mar 2024 (a year ago)
Organization Number: 1303016
Industry: Health Services
Number of Employees: Medium (20-99)
ZIP code: 40207
City: Louisville, Bellewood, Brownsboro Village, Brwnsboro...
Primary County: Jefferson County
Principal Office: 4171 Westport Road, Louisville, KY 40207
Place of Formation: KENTUCKY
Authorized Shares: 2000

Registered Agent

Name Role
Markus Laney Registered Agent

General Partner

Name Role
Robert Belza General Partner
Markus Laney General Partner
Stephanie Lynch General Partner
Jessica Holloman General Partner
Lacy Ochs General Partner
Kara Sammons General Partner
Michael Bricken General Partner

Shareholder

Name Role
Kara Sammons Shareholder
Jessica Holloman Shareholder
Lacy Ochs Shareholder
Michael Bricken Shareholder
Robert Belza Shareholder
Markus Laney Shareholder
Stephanie Lynch Shareholder

Incorporator

Name Role
Robert Belza Incorporator
Markus Laney Incorporator
Stephanie Lynch Incorporator
Kara Sammons Incorporator
Jessica Holloman Incorporator
Lacy Ochs Incorporator
Michael Bricken Incorporator

National Provider Identifier

NPI Number:
1699792465
Certification Date:
2024-02-13

Authorized Person:

Name:
KAYLA WEST
Role:
OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
208000000X - Pediatrics Physician
Is Primary:
Yes

Contacts:

Fax:
5028956278

Form 5500 Series

Employer Identification Number (EIN):
611210693
Plan Year:
2014
Number Of Participants:
42
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
42
Sponsors Telephone Number:
Plan Year:
2012
Number Of Participants:
49
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
36
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
45
Sponsors Telephone Number:

Filings

Name File Date
Annual Report 2024-03-27
Articles of Incorporation (Professional) 2023-08-22

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Sources: Kentucky Secretary of State