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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

Agent

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

Treasurer

Name Role Address
Chelle P Wilhelm Treasurer 1513 Lakeland Drive, Suite 101, Jackson, MS 39216

Unique Entity ID

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

Commercial and government entity program

CAGE number:
9CMJ3
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2024-09-24
CAGE Expiration:
2029-09-24
SAM Expiration:
2025-09-20

Contact Information

POC:
TIMOTHY CANNON
Corporate URL:
www.msaac.com

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 2025-07-24 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 2024-04-22 Annual Report 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.

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Date of last update: 29 Jul 2025

Sources: Company Profile on Mississippi Secretary of State Website