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Back Clinic, LLC

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Company Details

Name: Back Clinic, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Dissolved
Effective Date: 03 Dec 2007 (18 years ago)
Business ID: 923221
ZIP code: 39232
County: Rankin
State of Incorporation: MISSISSIPPI
Principal Office Address: 1050 N. FLOWOOD DRIVE, A-1FLOWOOD, MS 39232

Member

Name Role Address
Craig L Slay Member 2101 COURTSIDE DRIVE, BRANDON, MS 39042

Agent

Name Role Address
Cross, Lisa A Agent 1050 North Flowood Drive, Suite a, Flowood, MS 39232

National Provider Identifier

NPI Number:
1366627606

Authorized Person:

Name:
MRS. LISA A. CROSS
Role:
CO-OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
6019360705

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 2012-03-08 Annual Report LLC
Annual Report LLC Filed 2011-05-18 Annual Report LLC
Formation Form Filed 2007-12-03 Formation

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Date of last update: 07 May 2025

Sources: Company Profile on Mississippi Secretary of State Website