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Mid MS Medical LLC

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Company Details

Name: Mid MS Medical LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 13 Mar 2025 (3 months ago)
Business ID: 1480607
State of Incorporation: MISSISSIPPI

Agent

Name Role Address
Shana Thedford Agent 3304 8th St, Meridian, MS 39301

Member

Name Role Address
Shana Thedford Member 3304 8th St, Meridian, MS 39301

National Provider Identifier

NPI Number:
1063224467
Certification Date:
2025-01-22

Authorized Person:

Name:
MR. RODERICK DALE SR.
Role:
DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
332BC3200X - Customized Equipment (DME)
Is Primary:
No
Selected Taxonomy:
332H00000X - Eyewear Supplier
Is Primary:
No
Selected Taxonomy:
332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary:
Yes

Contacts:

Fax:
3863437195

Filings

Type Status Filed Date Description
Formation Form Filed 2025-03-13 Formation For Mid MS Medical LLC

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Date of last update: 01 May 2025

Sources: Company Profile on Mississippi Secretary of State Website