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Mississippi Vascular Center PLLC

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Company Details

Name: Mississippi Vascular Center PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Dissolved
Effective Date: 28 Nov 2012 (13 years ago)
Business ID: 1011799
ZIP code: 39211
County: Hinds
State of Incorporation: MISSISSIPPI
Principal Office Address: 5903 RIDGEWOOD ROAD STE 340JACKSON, MS 39211

Agent

Name Role Address
Ryan, Alice Van Agent 321 Highway 51, Suite D;, Ridgeland, MS 39157

Member

Name Role Address
Tunde Olutade Member 6501 DOGWOOD VIEW PKWY, Jackson, MS 39213
Gary Davis Member 6501 DOGWOOD VIEW PKWY, Suite A, Jackson, MS 39213

National Provider Identifier

NPI Number:
1841602257

Authorized Person:

Name:
TUNDE OLUTADE
Role:
MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
207RI0011X - Interventional Cardiology Physician
Is Primary:
No
Selected Taxonomy:
207RN0300X - Nephrology Physician
Is Primary:
Yes

Contacts:

Fax:
6018993343

Filings

Type Status Filed Date Description
Admin Dissolution Filed 2019-11-22 Admin Dissolution: AR
Notice to Dissolve/Revoke Filed 2019-08-22 Notice to Dissolve/Revoke
Annual Report LLC Filed 2018-02-13 Annual Report For Mississippi Vascular Center PLLC
Annual Report LLC Filed 2017-02-07 Annual Report For Mississippi Vascular Center PLLC
Annual Report LLC Filed 2016-02-25 Annual Report For Mississippi Vascular Center PLLC
Annual Report LLC Filed 2015-02-24 Annual Report For Mississippi Vascular Center PLLC
Annual Report LLC Filed 2014-01-28 Annual Report LLC
Annual Report LLC Filed 2013-03-09 Annual Report LLC
Formation Form Filed 2012-11-28 Formation

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Date of last update: 11 May 2025

Sources: Company Profile on Mississippi Secretary of State Website