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Urologic Ambulatory Surgery Center, LLC

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Company Details

Name: Urologic Ambulatory Surgery Center, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 27 Dec 2016 (8 years ago)
Business ID: 1107719
ZIP code: 38801
County: Lee
State of Incorporation: MISSISSIPPI
Principal Office Address: 2089 Southridge DriveTupelo, MS 38801

Agent

Name Role Address
Kathryn R Gilchrist Agent 609 Steed Road, Ridgeland, MS 39157

Organizer

Name Role Address
Jonathan R Kalish MD Organizer Midtown Pointe, Suite A-1, Tupelo, MS 38801

Member

Name Role Address
Jonathan R Kalish MD Member 2089 Southridge Dr, Tupelo, MS 38801
Paul Bradley Farabaugh MD Member PO Box 829, Tupelo, MS 38802

President

Name Role Address
Clarance Stephen Farmer MD President PO Box 829, Tupelo, MS 38802

Vice President

Name Role Address
Jon Timothy Posey MD Vice President PO Box 829, Tupelo, MS 38802

National Provider Identifier

NPI Number:
1154867562
Certification Date:
2023-10-24

Authorized Person:

Name:
MRS. DEONNE HENRY
Role:
DIRECTOR OF OPERATIONS
Phone:

Taxonomy:

Selected Taxonomy:
208800000X - Urology Physician
Is Primary:
No
Selected Taxonomy:
261QA1903X - Ambulatory Surgical Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
6623775736
Fax:
6628460566

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-01-14 Annual Report For Urologic Ambulatory Surgery Center, LLC
Annual Report LLC Filed 2024-01-30 Annual Report For Urologic Ambulatory Surgery Center, LLC
Annual Report LLC Filed 2023-01-09 Annual Report For Urologic Ambulatory Surgery Center, LLC
Annual Report LLC Filed 2022-02-14 Annual Report For Urologic Ambulatory Surgery Center, LLC
Annual Report LLC Filed 2021-09-14 Annual Report For Urologic Ambulatory Surgery Center, LLC
Annual Report LLC Filed 2021-01-19 Annual Report For Urologic Ambulatory Surgery Center, LLC
Annual Report LLC Filed 2020-01-20 Annual Report For Urologic Ambulatory Surgery Center, LLC
Annual Report LLC Filed 2019-02-12 Annual Report For Urologic Ambulatory Surgery Center, LLC
Registered Agent Change of Address Filed 2018-09-04 Agent Address Change For Kathryn R Gilchrist
Annual Report LLC Filed 2018-03-13 Annual Report For Urologic Ambulatory Surgery Center, LLC

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Date of last update: 18 May 2025

Sources: Company Profile on Mississippi Secretary of State Website