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Medline 1, LLC

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Company Details

Name: Medline 1, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 17 Aug 2015 (10 years ago)
Business ID: 1073639
ZIP code: 38671
County: DeSoto
State of Incorporation: MISSISSIPPI
Principal Office Address: 4440 Liverpool Lane, 4440 Liverpool LaneSouthaven, MS 38671

Agent

Name Role Address
United States Corporation Agents, Inc. Agent 4780 1-55 N , Suite 100, Jackson, MS 39211

Organizer

Name Role Address
LegalZoom.com, Inc. Organizer 101 N. Brand Blvd., 11th Floor, Glendale, CA 91203

Manager

Name Role Address
Darrell Jose Lundy Manager 4440 Liverpool Ln, Southaven, MS 8671

President

Name Role Address
Juanita Marie Lundy President 4440 Liverpool Ln, Southaven, MS 38671

U.S. Small Business Administration Profile

The U.S. Small Business Administration (SBA) helps Americans start, grow, and build resilient businesses.

Note: SBA was created in 1953 as an independent agency of the federal government to aid, counsel, assist and protect the interests of small business concerns; preserve free competitive enterprise; and maintain and strengthen the overall economy of our nation. SBA reviews Congressional and testifies on behalf of small businesses. It assesses the impact of regulatory burden on small businesses.

E-Commerce Website:
Phone Number:
E-mail Address:
Contact Person:
DARRELL LUNDY
Ownership and Self-Certifications:
Black American, Other Minority Owned, Self-Certified Small Disadvantaged Business, Woman Owned
User ID:
P2296254

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
PSWNBALCHFE3
CAGE Code:
837X0
UEI Expiration Date:
2025-11-07

Business Information

Division Name:
MEDLINE 1 LLC
Division Number:
MS
Activation Date:
2024-11-11
Initial Registration Date:
2018-03-28

National Provider Identifier

NPI Number:
1306324686

Authorized Person:

Name:
MRS. JUANITA MARIE LUNDY
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
347E00000X - Transportation Broker
Is Primary:
Yes

Contacts:

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-04-06 Annual Report For Medline 1, LLC
Reinstatement Filed 2024-08-12 Reinstatement For Medline 1, LLC
Admin Dissolution Filed 2022-11-28 Action of Intent to Dissolve: AR: Medline 1, LLC
Notice to Dissolve/Revoke Filed 2022-09-05 Notice of Intent to Dissolve: AR: Medline 1, LLC
Registered Agent Change of Address Filed 2021-09-09 Agent Address Change For United States Corporation Agents, Inc.
Reinstatement Filed 2021-03-17 Reinstatement For Medline 1, LLC
Admin Dissolution Filed 2019-11-22 Admin Dissolution: AR
Notice to Dissolve/Revoke Filed 2019-08-22 Notice to Dissolve/Revoke
Reinstatement Filed 2018-02-22 Reinstatement For Medline 1, LLC
Admin Dissolution Filed 2016-11-30 Admin Dissolution

USAspending Awards / Contracts

Procurement Instrument Identifier:
36C24222P0973
Award Or Idv Flag:
AWARD
Award Type:
PURCHASE ORDER
Action Obligation:
10000.00
Base And Exercised Options Value:
10000.00
Base And All Options Value:
10000.00
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2022-05-27
Description:
STAPLES
Naics Code:
339113: SURGICAL APPLIANCE AND SUPPLIES MANUFACTURING
Product Or Service Code:
6515: MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES
Procurement Instrument Identifier:
15B31720PUB130299
Award Or Idv Flag:
AWARD
Award Type:
PURCHASE ORDER
Action Obligation:
15070.72
Base And Exercised Options Value:
15070.72
Base And All Options Value:
15070.72
Awarding Agency Name:
Department of Justice
Performance Start Date:
2020-01-02
Description:
CREDIT CARD ORDER FOR MEDLINE.
Naics Code:
325412: PHARMACEUTICAL PREPARATION MANUFACTURING
Product Or Service Code:
6545: REPLENISHABLE FIELD MEDICAL SETS, KITS, AND OUTFITS
Procurement Instrument Identifier:
15B31719PUB130278
Award Or Idv Flag:
AWARD
Award Type:
PURCHASE ORDER
Action Obligation:
21760.35
Base And Exercised Options Value:
21760.35
Base And All Options Value:
21760.35
Awarding Agency Name:
Department of Justice
Performance Start Date:
2019-09-27
Description:
MEDICAL SUPPLIES.
Naics Code:
423450: MEDICAL, DENTAL, AND HOSPITAL EQUIPMENT AND SUPPLIES MERCHANT WHOLESALERS
Product Or Service Code:
6515: MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES

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Date of last update: 16 May 2025

Sources: Company Profile on Mississippi Secretary of State Website