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J.P.B. PATHOLOGY, INC.

J.P.B. PATHOLOGY, INC.

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Company Details

Name:	J.P.B. PATHOLOGY, INC.
Jurisdiction:	MISSISSIPPI
Business Type:	Profit Corporation
Status:	Dissolved
Effective Date:	05 Oct 1992 (33 years ago)
Business ID:	591522
ZIP code:	38655
County:	Lafayette
State of Incorporation:	MISSISSIPPI
Principal Office Address:	2301 S LamarOxford, MS 38655

Agent

Name	Role	Address
DeVoe, Richard L	Agent	1420 N Lamar Ave ;P O Box 1237, Oxford, MS 38655

Incorporator

Name	Role	Address
John McMahon	Incorporator	502 College Hill Road, Oxford, MS 38655
Richard L Devoe	Incorporator	1221 Madison Avenue, P O Box 1296, Oxford, MS 38655

Director

Name	Role	Address
John P Fullenwider	Director	2301 S. Lamar St, Oxford, MS 38655

President

Name	Role	Address
John P Fullenwider	President	2301 S. Lamar St, Oxford, MS 38655

Member

Name	Role	Address
Sheila D. Fullenwider	Member	8334 East Cty. Hwy 30A Unit 6, Inlet Beach, FL 32461

National Provider Identifier

NPI Number:

1295717056

Certification Date:

2023-04-04

Link:

View on NPI website

Authorized Person:

Name:

SHEILA FULLENWIDER

Role:

OWNER

Phone:

6623970913

Taxonomy:

Selected Taxonomy:

207ZP0102X - Anatomic Pathology & Clinical Pathology Physician

Is Primary:

Yes

Contacts:

Phone:

+1 662-232-8121

Fax:

6622365236

Phone:

+1 800-362-0858

Fax:

6625347188

Form 5500 Series

Employer Identification Number (EIN):

640820249

Plan Year:

2023

Number Of Participants:

19

Sponsors Telephone Number:

6626361051

File:

Plan Year:

2022

Number Of Participants:

23

Sponsors Telephone Number:

6626361051

File:

Plan Year:

2021

Number Of Participants:

24

Sponsors Telephone Number:

6626361051

File:

Plan Year:

2020

Number Of Participants:

24

Sponsors Telephone Number:

6626361051

File:

Plan Year:

2019

Number Of Participants:

24

Sponsors Telephone Number:

6626361051

File:

Filings

Type	Status	Filed Date	Description
Revocation	Filed	2024-03-04	Revocation For J.P.B. PATHOLOGY, INC.
Dissolution	Filed	2024-03-04	Dissolution For J.P.B. PATHOLOGY, INC.
Dissolution	Filed	2024-02-20	Dissolution For J.P.B. PATHOLOGY, INC.
Annual Report	Filed	2023-06-26	Annual Report For J.P.B. PATHOLOGY, INC.
Annual Report	Filed	2022-04-06	Annual Report For J.P.B. PATHOLOGY, INC.
Annual Report	Filed	2021-02-10	Annual Report For J.P.B. PATHOLOGY, INC.
Annual Report	Filed	2020-03-11	Annual Report For J.P.B. PATHOLOGY, INC.
Annual Report	Filed	2019-03-21	Annual Report For J.P.B. PATHOLOGY, INC.
Annual Report	Filed	2018-04-11	Annual Report For J.P.B. PATHOLOGY, INC.
Annual Report	Filed	2017-03-07	Annual Report For J.P.B. PATHOLOGY, INC.

Paycheck Protection Program

Jobs Reported:

15

Initial Approval Amount:

$229,700

Date Approved:

2020-04-16

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$229,700

Race:

Unanswered

Ethnicity:

Not Hispanic or Latino

Gender:

Male Owned

Veteran:

Non-Veteran

Forgiveness Amount:

$232,255.02

Servicing Lender:

Regions Bank

Use of Proceeds:

Payroll: $229,700

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Date of last update: 17 Jun 2025

Sources: Company Profile on Mississippi Secretary of State Website