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Keystone Medical Supplies LLC

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Company Details

Name: Keystone Medical Supplies LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Dissolved
Effective Date: 24 Oct 2022 (3 years ago)
Business ID: 1362928
ZIP code: 39110
County: Madison
State of Incorporation: MISSISSIPPI
Principal Office Address: 106 Highland Way, Ste 204Madison, MS 39110

Agent

Name Role Address
Jeffrey S Clark Agent 106 Highland Way, Ste 206, Madison, MS 39110

Member

Name Role Address
Jeffrey Clark Member 106 Highland Way, Suite 204, Madison, MS 39110

President

Name Role Address
Jeffrey Clark President 106 Highland Way, Suite 204, Madison, MS 39110

National Provider Identifier

NPI Number:
1154030369
Certification Date:
2023-03-15

Authorized Person:

Name:
JEFF KING
Role:
VICE PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary:
Yes

Contacts:

Filings

Type Status Filed Date Description
Dissolution Filed 2024-12-03 Dissolution For Keystone Medical Supplies LLC
Annual Report LLC Filed 2024-01-18 Annual Report For Keystone Medical Supplies LLC
Annual Report LLC Filed 2023-01-16 Annual Report For Keystone Medical Supplies LLC
Amendment Form Filed 2022-11-28 Amendment For Keystone Medical Supplies LLC
Amendment Form Filed 2022-11-04 Amendment For Keystone Medical Supplies LLC
Annual Report LLC Filed 2022-10-20 Annual Report For Keystone Medical Supplies LLC
Formation Form Filed 2022-10-20 Formation For Keystone Medical Supplies LLC

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Date of last update: 19 Jul 2025

Sources: Company Profile on Mississippi Secretary of State Website