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Greenville Ambulatory Surgery Center, LLC

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Company Details

Name: Greenville Ambulatory Surgery Center, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 17 Mar 2025 (5 months ago)
Business ID: 1480979
State of Incorporation: ARKANSAS
Principal Office Address: 108 N Shackleford Rd Ste 200Little Rock, AR 72211

Agent

Name Role Address
Meraj N Siddiqui MD Agent 1600 S Colorado St, Greenville, MS 38703

Member

Name Role Address
Meraj N Siddiqui MD Member 1600 S Colorado St, Greenville, MS 38703

National Provider Identifier

NPI Number:
1518603745
Certification Date:
2022-05-10

Authorized Person:

Name:
ELIZABETH WADDELL
Role:
EXECUTIVE DIRECTOR OF ASC
Phone:

Taxonomy:

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

Contacts:

Fax:
8886308885

Filings

Type Status Filed Date Description
Formation Form Filed 2025-03-17 Formation For Greenville Ambulatory Surgery Center, LLC

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Date of last update: 03 Aug 2025

Sources: Company Profile on Mississippi Secretary of State Website