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MB Costello Enterprises LLC

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Company Details

Name: MB Costello Enterprises LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Dissolved
Effective Date: 22 Dec 2010 (14 years ago)
Business ID: 976206
ZIP code: 39216
County: Hinds
State of Incorporation: MISSISSIPPI
Principal Office Address: 1501 LAKELAND DRIVE SUITE 251JACKSON, MS 39216

Member

Name Role Address
Dan Keen Member 424 E. Sherman Ave., Ste. 305, Coeur D Alene, ID 83814
Bruce Costello Member 455 RIVERBEND DRIVE, MCDONOUGH, GA 30252

Manager

Name Role Address
Bruce Costello Manager 455 RIVERBEND DRIVE, MCDONOUGH, GA 30252

National Provider Identifier

NPI Number:
1982996567

Authorized Person:

Name:
DR. BRUCE COSTELLO
Role:
FRANCHISEE
Phone:

Taxonomy:

Selected Taxonomy:
207LP2900X - Pain Medicine (Anesthesiology) Physician
Is Primary:
Yes

Contacts:

Fax:
6013208001
Fax:
6013218001

Filings

Type Status Filed Date Description
Admin Dissolution Filed 2015-12-08 Admin Dissolution: AR/RA
Notice to Dissolve/Revoke Filed 2015-09-16 Notice to Dissolve/Revoke
Agent Resignation Filed 2015-08-25 Agent Resignation For Northwest Registered Agent Inc
Annual Report LLC Filed 2014-03-24 Annual Report LLC
Amendment Form Filed 2013-09-23 Amendment
Annual Report LLC Filed 2013-03-03 Annual Report LLC
Annual Report LLC Filed 2012-02-01 Annual Report LLC
Amendment Form Filed 2011-04-04 Amendment
Annual Report LLC Filed 2011-03-28 Annual Report LLC
Formation Form Filed 2010-12-22 Formation

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Date of last update: 10 May 2025

Sources: Company Profile on Mississippi Secretary of State Website