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Advanced Diagnostic Pain Center, PLLC

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Company Details

Name: Advanced Diagnostic Pain Center, PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Dissolved
Effective Date: 21 May 2007 (18 years ago)
Business ID: 912751
ZIP code: 39211
County: Hinds
State of Incorporation: MISSISSIPPI
Principal Office Address: 5903 RIDGEWOOD ROAD, SUITE 440JACKSON, MS 39211

Agent

Name Role Address
Harris, Carol D Agent 5903 Ridgewood Road Suite 440, Jackson, MS 39211

Member

Name Role Address
Carol D Harris, MD Member 5903 Ridgewood Road Suite 440, Jackson, MS 39211
Carol Harris Member 5903 RIDGEWOOD ROAD STE 440, JACKSON, MS 39110

Manager

Name Role Address
D Harris Carol Manager 5903 RIDGEWOOD ROAD SUITE 440, JACKSON, MS 39211

National Provider Identifier

NPI Number:
1972706646

Authorized Person:

Name:
DR. CAROL D HARRIS
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207L00000X - Anesthesiology Physician
Is Primary:
No
Selected Taxonomy:
207LP2900X - Pain Medicine (Anesthesiology) Physician
Is Primary:
No

Contacts:

Fax:
6018993920

Filings

Type Status Filed Date Description
Admin Dissolution Filed 2013-10-01 Admin Dissolution
Notice to Dissolve/Revoke Filed 2013-07-01 Notice to Dissolve/Revoke
Annual Report LLC Filed 2012-03-22 Annual Report LLC
Annual Report LLC Filed 2011-02-28 Annual Report LLC
Formation Form Filed 2007-05-21 Formation

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Date of last update: 07 May 2025

Sources: Company Profile on Mississippi Secretary of State Website