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The Medical Technology Institute LLC

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Company Details

Name: The Medical Technology Institute LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Dissolved
Effective Date: 09 May 2013 (12 years ago)
Business ID: 1020914
ZIP code: 38732
County: Bolivar
State of Incorporation: MISSISSIPPI
Principal Office Address: 810 East Sunflower Road Ste 100-JCleveland, MS 38732

Agent

Name Role Address
Reginal, Maryann P Agent 810 East Sunflower Road ;Ste 100-J, Cleveland, MS 38732

President

Name Role Address
Maryann P Reginal President 810 East Sunflower Road Ste 100-J, Cleveland, MS 38732

Manager

Name Role Address
Louise A Reid Manager 810 East Sunflower Road Ste 100-J, Cleveland, MS 38732

National Provider Identifier

NPI Number:
1467794578

Authorized Person:

Name:
MARYANN REGINAL
Role:
OWNER/CEO
Phone:

Taxonomy:

Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
Yes

Contacts:

Filings

Type Status Filed Date Description
Admin Dissolution Filed 2015-12-08 Admin Dissolution: AR
Notice to Dissolve/Revoke Filed 2015-09-16 Notice to Dissolve/Revoke
Annual Report LLC Filed 2014-12-14 Annual Report For The Medical Technology Institute LLC
Notice to Dissolve/Revoke Filed 2014-10-13 Notice to Dissolve/Revoke
Formation Form Filed 2013-05-09 Formation

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Date of last update: 02 Jul 2025

Sources: Company Profile on Mississippi Secretary of State Website