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Magnolia Neuro Monitoring, LLC

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Company Details

Name: Magnolia Neuro Monitoring, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 26 Apr 2016 (9 years ago)
Business ID: 1091447
ZIP code: 39232
County: Rankin
State of Incorporation: MISSISSIPPI
Principal Office Address: 1080 River Oaks Drive, Suite B-103Flowood, MS 39232

Organizer

Name Role Address
Ralph A Yelverton Organizer 1400 Meadowbrook Road Suite 102, Jackson, MS 39211

Manager

Name Role Address
Adam I Lewis MD Manager 1080 River Oaks Drive, Suite B-103, Flowood, MS 39232

Agent

Name Role Address
Stubblefield & Yelverton, PLLC Agent 281 Trace Colony Park Drive, Suite C, Ridgeland, MS 39157

National Provider Identifier

NPI Number:
1619325214
Certification Date:
2022-07-08

Authorized Person:

Name:
ROXANNA LAROQUE
Role:
DIRECTOR OF CLIENT EXPERIENCE
Phone:

Taxonomy:

Selected Taxonomy:
204R00000X - Electrodiagnostic Medicine Physician
Is Primary:
No
Selected Taxonomy:
2084N0400X - Neurology Physician
Is Primary:
No
Selected Taxonomy:
246ZE0600X - Electroneurodiagnostic Specialist/Technologist
Is Primary:
No
Selected Taxonomy:
2084N0600X - Clinical Neurophysiology Physician
Is Primary:
Yes

Contacts:

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-04-11 Annual Report For Magnolia Neuro Monitoring, LLC
Annual Report LLC Filed 2024-04-09 Annual Report For Magnolia Neuro Monitoring, LLC
Registered Agent Change of Address Filed 2024-03-05 Agent Address Change For Stubblefield & Yelverton, PLLC
Annual Report LLC Filed 2023-03-15 Annual Report For Magnolia Neuro Monitoring, LLC
Annual Report LLC Filed 2022-02-28 Annual Report For Magnolia Neuro Monitoring, LLC
Annual Report LLC Filed 2021-02-23 Annual Report For Magnolia Neuro Monitoring, LLC
Annual Report LLC Filed 2020-01-27 Annual Report For Magnolia Neuro Monitoring, LLC
Annual Report LLC Filed 2019-03-11 Annual Report For Magnolia Neuro Monitoring, LLC
Annual Report LLC Filed 2019-02-20 Annual Report For Magnolia Neuro Monitoring, LLC
Annual Report LLC Filed 2018-02-24 Annual Report For Magnolia Neuro Monitoring, LLC

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Date of last update: 04 Jul 2025

Sources: Company Profile on Mississippi Secretary of State Website