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Madison Sleep Lab, LLC

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Company Details

Name: Madison Sleep Lab, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Dissolved
Effective Date: 08 Dec 2004 (21 years ago)
Business ID: 864560
State of Incorporation: MISSISSIPPI

Agent

Name Role Address
Herrington, David Agent 1883 Highway 43 South Suite S, Canton, MS 39046

Member

Name Role Address
David Herrington Member 1883 Highway 43 South Suite S, Canton, MS 39046

National Provider Identifier

NPI Number:
1962574749

Authorized Person:

Name:
MR. ROLAND B WALL III
Role:
MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
261QS1200X - Sleep Disorder Diagnostic Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
6019323398
Fax:
6018590731

Filings

Type Status Filed Date Description
Failure to File AR Filed 2011-12-05 Failure to File AR
Formation Form Filed 2004-12-08 Formation

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Date of last update: 13 May 2025

Sources: Company Profile on Mississippi Secretary of State Website