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MISSISSIPPI UROLOGY CLINIC, PLLC

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Company Details

Name: MISSISSIPPI UROLOGY CLINIC, PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 20 Nov 1996 (29 years ago)
Business ID: 636203
ZIP code: 39202
County: Hinds
State of Incorporation: MISSISSIPPI
Principal Office Address: 501 Marshall St., #301Jackson, MS 39202

Agent

Name Role Address
Harold Jason Blalock MD Agent 501 Marshall Street, Suite 301, Jackson, MS 39202

Member

Name Role Address
Patrick Daily Member 501 Marshall St., #201, Jackson, MS 39202

Manager

Name Role Address
H. Jason Blalock Manager 501 Marshall St., #201, Jackson, MS 39202

President

Name Role Address
H. Jason Blalock President 501 Marshall St., #201, Jackson, MS 39202

National Provider Identifier

NPI Number:
1487432852
Certification Date:
2023-09-18

Authorized Person:

Name:
DR. HAROLD JASON BLALOCK
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
332900000X - Non-Pharmacy Dispensing Site
Is Primary:
Yes

Contacts:

Fax:
6013533654
Fax:
6014145381

Form 5500 Series

Employer Identification Number (EIN):
640884577
Plan Year:
2012
Number Of Participants:
13
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
16
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
16
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
16
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
18
Sponsors Telephone Number:

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-01-27 Annual Report For MISSISSIPPI UROLOGY CLINIC, PLLC
Annual Report LLC Filed 2024-01-30 Annual Report For MISSISSIPPI UROLOGY CLINIC, PLLC
Agent Resignation Filed 2023-10-18 Agent Resignation For WILLIAM S PAINTER
Amendment Form Filed 2023-10-18 Amendment For MISSISSIPPI UROLOGY CLINIC, PLLC
Annual Report LLC Filed 2023-03-10 Annual Report For MISSISSIPPI UROLOGY CLINIC, PLLC
Annual Report LLC Filed 2022-03-03 Annual Report For MISSISSIPPI UROLOGY CLINIC, PLLC
Annual Report LLC Filed 2021-01-15 Annual Report For MISSISSIPPI UROLOGY CLINIC, PLLC
Annual Report LLC Filed 2020-01-15 Annual Report For MISSISSIPPI UROLOGY CLINIC, PLLC
Annual Report LLC Filed 2019-02-25 Annual Report For MISSISSIPPI UROLOGY CLINIC, PLLC
Annual Report LLC Filed 2018-04-04 Annual Report For MISSISSIPPI UROLOGY CLINIC, PLLC

USAspending Awards / Financial Assistance

Date:
2020-04-11
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
343900.00
Total Face Value Of Loan:
343900.00

Paycheck Protection Program

Date Approved:
2020-04-10
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
343900
Current Approval Amount:
343900
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
346202.22

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Date of last update: 30 Apr 2025

Sources: Company Profile on Mississippi Secretary of State Website