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Urologic Reference Lab, LLC

Company Details

Name: Urologic Reference Lab, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 12 Sep 2023 (2 years ago)
Business ID: 1410824
ZIP code: 38801
County: Lee
State of Incorporation: MISSISSIPPI
Principal Office Address: 499 Gloster Creek Village, Suite A-1Tupelo, MS 38801

Organizer

Name Role Address
David W Donnell Organizer 609 Steed Road, Ridgeland, MS 39157

Agent

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

Member

Name Role Address
Jon Timothy Posey MD Member 499 Gloster Creek Village, Suite A-1, Tupelo, MS 38801

National Provider Identifier

NPI Number:
1689455305
Certification Date:
2023-10-09

Authorized Person:

Name:
MRS. JAMIE MICHELLE ALLEN
Role:
REVENUE CYCLE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
208800000X - Urology Physician
Is Primary:
Yes

Contacts:

Fax:
6628420566

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-01-14 Annual Report For Urologic Reference Lab, LLC
Amendment Form Filed 2025-01-14 Amendment For Urologic Reference Lab, LLC
Annual Report LLC Filed 2024-01-30 Annual Report For Urologic Reference Lab, LLC
Formation Form Filed 2023-09-12 Formation For Urologic Reference Lab, LLC

Date of last update: 03 Jun 2025

Sources: Company Profile on Mississippi Secretary of State Website