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BILOXI RADIATION ONCOLOGY CENTER, L.L.C.

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Company Details

Name: BILOXI RADIATION ONCOLOGY CENTER, L.L.C.
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Dissolved
Effective Date: 29 Sep 1999 (26 years ago)
Business ID: 676690
ZIP code: 39532
County: Harrison
State of Incorporation: MISSISSIPPI
Principal Office Address: 1732 MEDICAL PARK DRBILOXI, MS 39532

Agent

Name Role Address
Lines, Laurence G Agent 150 REYNOIR ST, BILOXI, MS 39535

Member

Name Role Address
KENNETH E ELLINGWOOD Member 3719 DAUPHIN STREET #100, MOBILE, AL 36608
GREGORY W. COTTER Member 3719 DAUPHIN STREET, SUITE 100, MOBILE, AL 36608

Manager

Name Role Address
Kimberly R Lentz Manager PO BOX 927, GULFPORT, MS 39501

National Provider Identifier

NPI Number:
1851505309

Authorized Person:

Name:
DR. WILLIAM BURLESON
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
2085R0001X - Radiation Oncology Physician
Is Primary:
Yes

Contacts:

Fax:
2283142517

Form 5500 Series

Employer Identification Number (EIN):
631229553
Plan Year:
2015
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2012
Number Of Participants:
7
Sponsors Telephone Number:

Filings

Type Status Filed Date Description
Admin Dissolution Filed 2015-12-08 Admin Dissolution: AR
Notice to Dissolve/Revoke Filed 2015-09-16 Notice to Dissolve/Revoke
Annual Report LLC Filed 2014-04-14 Annual Report LLC
Annual Report LLC Filed 2013-05-30 Annual Report LLC
Annual Report LLC Filed 2012-11-01 Annual Report LLC
Notice to Dissolve/Revoke Filed 2012-09-14 Notice to Dissolve/Revoke
Annual Report LLC Filed 2011-11-15 Annual Report LLC
Amendment Form Filed 2008-02-14 Amendment
Name Reservation Form Filed 1999-09-29 Name Reservation

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Date of last update: 03 May 2025

Sources: Company Profile on Mississippi Secretary of State Website