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IMAGING CENTERS FOR EXCELLENCE, LLC

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Company Details

Name: IMAGING CENTERS FOR EXCELLENCE, LLC
Jurisdiction: MISSISSIPPI
Business Type: Name Reservation
Status: Expired
Effective Date: 18 May 2005 (20 years ago)
Business ID: 742420
ZIP code: 38801
County: Lee
State of Incorporation: MISSISSIPPI
Principal Office Address: 620 CROSSOVER ROADTUPELO, MS 38801

Agent

Name Role Address
Barrow, Vernon W, III Agent 620 Crossover Road, Tupelo, MS 38801

Member

Name Role Address
Premier Health Group PLLC Member 620 CROSSOVER ROAD, TUPELO, MS 38801

National Provider Identifier

NPI Number:
1730281148
Certification Date:
2021-08-26

Authorized Person:

Name:
DR. VERNON WYATT BARROW III
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
261QR0200X - Radiology Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
6626207106
Fax:
6623202050

Filings

Type Status Filed Date Description
Name Reservation Form Filed 2004-12-07 Name Reservation
Name Reservation Form Filed 2004-06-04 Name Reservation
Name Reservation Form Filed 2003-11-26 Name Reservation

Paycheck Protection Program

Jobs Reported:
13
Initial Approval Amount:
$125,200
Date Approved:
2020-04-08
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$125,200
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$125,951.2
Servicing Lender:
Renasant Bank
Use of Proceeds:
Payroll: $125,200
Jobs Reported:
6
Initial Approval Amount:
$124,999
Date Approved:
2021-04-02
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$124,999
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$125,561.5
Servicing Lender:
Itria Ventures LLC
Use of Proceeds:
Payroll: $124,997
Utilities: $1

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Date of last update: 30 Jun 2025

Sources: Company Profile on Mississippi Secretary of State Website