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Flowood Vascular Access Center, Inc.

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Company Details

Name: Flowood Vascular Access Center, Inc.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Dissolved
Effective Date: 28 Mar 1979 (46 years ago)
Business ID: 574013
State of Incorporation: MISSISSIPPI
Principal Office Address: 920 Winter StWaltham, MA 02451
Historical names: CENTRAL NEPHROLOGY CLINIC, P.A.
Central Nephrology Clinic, Inc.

Incorporator

Name Role Address
Alvin E Brent Jr Incorporator 381 Medical Drive, P O Box 55669, Jackson, MS 39296
James N McLeod Iii Incorporator 1414 Roxbury Place, Jackson, MS

Director

Name Role Address
MICHAEL ASSELTA Director 920 Winter Street, Waltham, MA 02451

President

Name Role Address
MICHAEL ASSELTA President 920 Winter Street, Waltham, MA 02451

Treasurer

Name Role Address
Mark Fawcett Treasurer 920 Winter Street, Waltham, MA 02451

Vice President

Name Role Address
Mark Fawcett Vice President 920 Winter Street, Waltham, MA 02451
PAUL TOOMEY Vice President 920 Winter Street, Waltham, MA 02451

Secretary

Name Role Address
PAUL TOOMEY Secretary 920 Winter Street, Waltham, MA 02451

Assistant Treasurer

Name Role Address
BRYAN MELLO Assistant Treasurer 920 WINTER ST, WALTHAM, MA 02451
DOROTHY RIZZO Assistant Treasurer 920 WINTER ST, WALTHAM, MA 02451

Agent

Name Role Address
Ruvinsky, Marcelo J Agent 1010 Lakeland Square Extension, Suite A, Flowood, MS 39232-7607

National Provider Identifier

NPI Number:
1528109972
Certification Date:
2024-10-01

Authorized Person:

Name:
MARK KLEIN
Role:
AUTHORIZED OFFICIAL
Phone:

Taxonomy:

Selected Taxonomy:
207RN0300X - Nephrology Physician
Is Primary:
Yes

Contacts:

Fax:
4849240053
Fax:
6019360891

Form 5500 Series

Employer Identification Number (EIN):
640625140
Plan Year:
2011
Number Of Participants:
27
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
25
Sponsors Telephone Number:
Plan Year:
2009
Number Of Participants:
24
Sponsors Telephone Number:

Filings

Type Status Filed Date Description
Admin Dissolution Filed 2022-11-28 Action of Intent to Dissolve: AR: Flowood Vascular Access Center, Inc.
Notice to Dissolve/Revoke Filed 2022-09-05 Notice of Intent to Dissolve: AR: Flowood Vascular Access Center, Inc.
Annual Report Filed 2021-04-02 Annual Report For Flowood Vascular Access Center, Inc.
Annual Report Filed 2020-04-01 Annual Report For Flowood Vascular Access Center, Inc.
Annual Report Filed 2019-04-02 Annual Report For Flowood Vascular Access Center, Inc.
Annual Report Filed 2018-03-28 Annual Report For Flowood Vascular Access Center, Inc.
Annual Report Filed 2017-04-03 Annual Report For Flowood Vascular Access Center, Inc.
Annual Report Filed 2016-04-14 Annual Report For Flowood Vascular Access Center, Inc.
Annual Report Filed 2015-04-10 Annual Report For Flowood Vascular Access Center, Inc.
Reinstatement Filed 2014-08-01 Reinstatement

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Date of last update: 21 Apr 2025

Sources: Mississippi Secretary of State