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MISSISSIPPI ASTHMA AND ALLERGY CLINIC, P.A.

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Company Details

Name: MISSISSIPPI ASTHMA AND ALLERGY CLINIC, P.A.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 30 Jun 1970 (55 years ago)
Business ID: 557751
ZIP code: 39216
County: Hinds
State of Incorporation: MISSISSIPPI
Principal Office Address: 1513 Lakeland Drive, Suite 101Jackson, MS 39216

President

Name Role Address
Daniel L Venarske MD President 1513 Lakeland Drive, Suite 101, Jackson, MS 39216

Vice President

Name Role Address
Mark G Murray MD Vice President 1513 Lakeland Drive, Suite 101, Jackson, MS 39216

Secretary

Name Role Address
Claire B Rosenblatt MD Secretary 1513 Lakeland Drive, Suite 101, Jackson, MS 39216

Treasurer

Name Role Address
Claire B Rosenblatt MD Treasurer 1513 Lakeland Drive, Suite 101, Jackson, MS 39216

Agent

Name Role Address
Timothy Creed Cannon Agent 1513 Lakeland Drive, Suite 101, Jackson, MS 39216

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
VCLHPC9BNK31
CAGE Code:
9CMJ3
UEI Expiration Date:
2025-09-20

Business Information

Activation Date:
2024-09-24
Initial Registration Date:
2022-08-26

National Provider Identifier

NPI Number:
1861715534

Authorized Person:

Name:
DAVID L MOAK
Role:
PRACTICE ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Fax:
6013542619

Filings

Type Status Filed Date Description
Annual Report Filed 2024-04-22 Annual Report For MISSISSIPPI ASTHMA AND ALLERGY CLINIC, P.A.
Amendment Form Filed 2024-04-22 Amendment For MISSISSIPPI ASTHMA AND ALLERGY CLINIC, P.A.
Annual Report Filed 2023-05-03 Annual Report For MISSISSIPPI ASTHMA AND ALLERGY CLINIC, P.A.
Annual Report Filed 2022-04-15 Annual Report For MISSISSIPPI ASTHMA AND ALLERGY CLINIC, P.A.
Annual Report Filed 2021-04-17 Annual Report For MISSISSIPPI ASTHMA AND ALLERGY CLINIC, P.A.
Annual Report Filed 2020-04-21 Annual Report For MISSISSIPPI ASTHMA AND ALLERGY CLINIC, P.A.
Annual Report Filed 2019-04-10 Annual Report For MISSISSIPPI ASTHMA AND ALLERGY CLINIC, P.A.
Annual Report Filed 2018-04-13 Annual Report For MISSISSIPPI ASTHMA AND ALLERGY CLINIC, P.A.
Annual Report Filed 2017-03-06 Annual Report For MISSISSIPPI ASTHMA AND ALLERGY CLINIC, P.A.
Annual Report Filed 2016-06-20 Annual Report For MISSISSIPPI ASTHMA AND ALLERGY CLINIC, P.A.

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Date of last update: 15 Jun 2025

Sources: Company Profile on Mississippi Secretary of State Website