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Ambulatory Cardiovascular Center of Mississippi LLC

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Company Details

Name: Ambulatory Cardiovascular Center of Mississippi LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 29 Oct 2020 (5 years ago)
Business ID: 1243232
ZIP code: 39401
County: Forrest
State of Incorporation: MISSISSIPPI
Principal Office Address: 415 South 28th AveHattiesburg, MS 39401
Historical names: Forthcoming Venture LLC

Agent

Name Role Address
Bryan N. Batson MD Agent 415 South 28th Avenue, Hattiesburg, MS 39401

Organizer

Name Role Address
Reginald Arthur Gray III Organizer 611 Corinne Street, Hattiesburg, MS 39401

Manager

Name Role Address
Bryan N Batson MD Manager 415 South 28th Ave, Hattiesburg, MS 39401

National Provider Identifier

NPI Number:
1871174706
Certification Date:
2021-03-26

Authorized Person:

Name:
BRYAN BATSON
Role:
CEO
Phone:

Taxonomy:

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

Contacts:

Fax:
6015795240

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-03-11 Annual Report For Ambulatory Cardiovascular Center of Mississippi LLC
Annual Report LLC Filed 2024-03-28 Annual Report For Ambulatory Cardiovascular Center of Mississippi LLC
Annual Report LLC Filed 2023-03-15 Annual Report For Ambulatory Cardiovascular Center of Mississippi LLC
Annual Report LLC Filed 2022-03-10 Annual Report For Ambulatory Cardiovascular Center of Mississippi LLC
Annual Report LLC Filed 2021-09-21 Annual Report For Ambulatory Cardiovascular Center of Mississippi LLC
Notice to Dissolve/Revoke Filed 2021-09-07 Notice of Intent to Dissolve: AR: Ambulatory Cardiovascular Center of Mississippi LLC
Amendment Form Filed 2021-01-28 Amendment For Forthcoming Venture LLC
Formation Form Filed 2020-10-29 Formation For Forthcoming Venture LLC

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Date of last update: 24 May 2025

Sources: Company Profile on Mississippi Secretary of State Website