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Mississippi Urology Outpatient Surgery Center, LLC

Company Details

Name: Mississippi Urology Outpatient Surgery Center, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 10 Jul 2013 (12 years ago)
Business ID: 1024241
ZIP code: 39202
County: Hinds
State of Incorporation: MISSISSIPPI
Principal Office Address: 501 Marshall St., #201Jackson, MS 39202

Agent

Name Role Address
Harold Jason Blalock Agent 501 Marshall St , Suite 201, Jackson, MS 39202

Manager

Name Role Address
H. Jason Blalock Manager 501 Marshall St., #201, Jackson, MS 39202
Kellie Williams Manager 501 Marshall Street, Suite 201, Jackson, MS 39202

Member

Name Role Address
H. Jason Blalock Member 501 Marshall St., #201, Jackson, MS 39202

President

Name Role Address
H. Jason Blalock President 501 Marshall St., #201, Jackson, MS 39202

Organizer

Name Role Address
William S Painter Organizer 4268 I-55 North, Meadowbrook Office ParkPO Box 14167 (39236), Jackson, MS 39211

National Provider Identifier

NPI Number:
1548655053

Authorized Person:

Name:
DR. HAROLD J BLALOCK
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
6013533654

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-01-27 Annual Report For Mississippi Urology Outpatient Surgery Center, LLC
Annual Report LLC Filed 2024-02-29 Annual Report For Mississippi Urology Outpatient Surgery Center, LLC
Amendment Form Filed 2024-01-30 Amendment For Mississippi Urology Outpatient Surgery Center, LLC
Agent Resignation Filed 2023-10-18 Agent Resignation For Painter, William S.
Annual Report LLC Filed 2023-08-15 Annual Report For Mississippi Urology Outpatient Surgery Center, LLC
Annual Report LLC Filed 2023-04-13 Annual Report For Mississippi Urology Outpatient Surgery Center, LLC
Annual Report LLC Filed 2022-05-06 Annual Report For Mississippi Urology Outpatient Surgery Center, LLC
Annual Report LLC Filed 2021-01-15 Annual Report For Mississippi Urology Outpatient Surgery Center, LLC
Annual Report LLC Filed 2020-01-15 Annual Report For Mississippi Urology Outpatient Surgery Center, LLC
Annual Report LLC Filed 2019-02-25 Annual Report For Mississippi Urology Outpatient Surgery Center, LLC

USAspending Awards / Financial Assistance

Date:
2020-04-07
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
153700.00
Total Face Value Of Loan:
153700.00

Paycheck Protection Program

Date Approved:
2020-04-06
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
153700
Current Approval Amount:
153700
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
154728.94

Date of last update: 14 May 2025

Sources: Company Profile on Mississippi Secretary of State Website