Search icon

Modern Vascular of Southaven, LLC

Company claim

Is this your business?

Get access!

Company Details

Name: Modern Vascular of Southaven, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Dissolved
Effective Date: 15 Feb 2019 (6 years ago)
Business ID: 1169074
ZIP code: 38671
County: DeSoto
State of Incorporation: MISSISSIPPI
Principal Office Address: 55 Physicians LaneSouthaven, MS 38671

Organizer

Name Role Address
Mark Rabinovich Organizer 26500 W. Agoura Road Suite 201, Calabasas, CA 91302

Manager

Name Role Address
Modern Vascular Management - West, LLC Manager 4650 E Cotton Center Blvd, Ste 120, Phoenix, AZ 85040

Secretary

Name Role Address
Mark Rabinovich Secretary 19790 W DIXIE HWY, STE 901, MIAMI, MS 33180

Vice President

Name Role Address
Mark Rabinovich Vice President 19790 W DIXIE HWY, STE 901, MIAMI, MS 33180

Agent

Name Role Address
REGISTERED AGENTS, INC Agent 270 TRACE COLONY PARK STE B, RIDGELAND, MS 39157

National Provider Identifier

NPI Number:
1174171441

Authorized Person:

Name:
YURY GAMPEL
Role:
MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
2471V0106X - Vascular-Interventional Technology Radiologic Technologist
Is Primary:
No
Selected Taxonomy:
2085R0204X - Vascular & Interventional Radiology Physician
Is Primary:
Yes

Contacts:

Fax:
8185797916
Fax:
6629962214

Filings

Type Status Filed Date Description
Admin Dissolution Filed 2024-12-01 Action of Intent to Dissolve: AR: Modern Vascular of Southaven, LLC
Notice to Dissolve/Revoke Filed 2024-09-01 Notice of Intent to Dissolve: AR: Modern Vascular of Southaven, LLC
Annual Report LLC Filed 2023-08-15 Annual Report For Modern Vascular of Southaven, LLC
Annual Report LLC Filed 2022-05-07 Annual Report For Modern Vascular of Southaven, LLC
Annual Report LLC Filed 2021-03-22 Annual Report For Modern Vascular of Southaven, LLC
Annual Report LLC Filed 2020-05-11 Annual Report For Modern Vascular of Southaven, LLC
Formation Form Filed 2019-02-15 Formation For Modern Vascular of Southaven, LLC

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 20 May 2025

Sources: Company Profile on Mississippi Secretary of State Website