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Keystone Medical Services of MS, Inc.

Company Details

Name: Keystone Medical Services of MS, Inc.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 23 Sep 2002 (23 years ago)
Business ID: 723069
State of Incorporation: MISSISSIPPI
Principal Office Address: 10312 Bloomingdale Ave, Suite 108 - #379Riverview, FL 33578
Historical names: KEYSTONE MEDICAL SERVICES OF MS, P.A.

Agent

Name Role Address
REGISTERED AGENT SOLUTIONS, INC Agent 8927 Lorraine Rd., Ste. 204-A, Gulfport, MS 39503

Incorporator

Name Role Address
C Delbert Hosemann Jr Incorporator 200 S Lamar Ste 600, P O Box 23066, Jackson, MS 39225

Director

Name Role Address
Glenn Adams Director 10312 Bloomingdale Ave, Suite 108 - #379, Riverview, FL 33578
Andrew Portelli Director 10312 Bloomingdale Ave, Suite 108 - #379, Riverview, FL 33578
Ronald Dvorkin Director 71 Primrose Lane, Kings Park, NY 11754

President

Name Role Address
Glenn Adams President 10312 Bloomingdale Ave, Suite 108 - #379, Riverview, FL 33578

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
J5XYLPLAHGJ3
CAGE Code:
8TND5
UEI Expiration Date:
2025-11-10

Business Information

Activation Date:
2024-11-20
Initial Registration Date:
2020-12-21

National Provider Identifier

NPI Number:
1174691059

Authorized Person:

Name:
GLENN ADAMS
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207P00000X - Emergency Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
9044821077

Filings

Type Status Filed Date Description
Annual Report Filed 2025-02-09 Annual Report For Keystone Medical Services of MS, Inc.
Annual Report Filed 2024-03-13 Annual Report For Keystone Medical Services of MS, Inc.
Annual Report Filed 2023-03-07 Annual Report For Keystone Medical Services of MS, Inc.
Annual Report Filed 2022-04-04 Annual Report For Keystone Medical Services of MS, Inc.
Annual Report Filed 2021-04-05 Annual Report For Keystone Medical Services of MS, Inc.
Annual Report Filed 2020-04-06 Annual Report For Keystone Medical Services of MS, Inc.
Registered Agent Change of Address Filed 2020-01-16 Agent Address Change For
Annual Report Filed 2019-04-03 Annual Report For Keystone Medical Services of MS, Inc.
Amendment Form Filed 2019-03-08 Amendment For Keystone Medical Services of MS, Inc.
Annual Report Filed 2018-03-29 Annual Report For Keystone Medical Services of MS, Inc.

Date of last update: 04 May 2025

Sources: Company Profile on Mississippi Secretary of State Website