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CPS - ELIZABETHTOWN ASC LLC

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Company Details

Name: CPS - ELIZABETHTOWN ASC LLC
Legal type: Foreign Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 21 Nov 2024 (7 months ago)
Organization Date: 14 Mar 2024 (a year ago)
Authority Date: 21 Nov 2024 (7 months ago)
Organization Number: 1410902
ZIP code: 40207
City: Louisville, Bellewood, Brownsboro Village, Brwnsboro...
Primary County: Jefferson County
Principal Office: 223 Executive Drive, Louisville, KY 40207
Place of Formation: DELAWARE

Registered Agent

Name Role
Lori M Hayden Registered Agent

Manager

Name Role
Jeff Ellison Manager

Organizer

Name Role
Jeff Ellison Organizer

National Provider Identifier

NPI Number:
1790512226
Certification Date:
2024-09-12

Authorized Person:

Name:
JASON LEWIS
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QA1903X - Ambulatory Surgical Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
5029199780
Fax:
2705062843

Assumed Names

Name Status Expiration Date
ADVANCED SURGICAL INSTITUTE OF ELIZABETHTOWN Active 2029-12-06

Filings

Name File Date
Certificate of Assumed Name 2024-12-06
Certificate of Authority FBE 2024-11-21

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Sources: Kentucky Secretary of State