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Medical Mall Health Services LLC

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Company Details

Name: Medical Mall Health Services LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Revoked
Effective Date: 07 Jul 2011 (14 years ago)
Business ID: 985778
State of Incorporation: DISTRICT OF COLUMBIA
Principal Office Address: 2820 Bladensburg RoadWashington, DC 20018

Member

Name Role Address
James C Bardwell Member 2820 Bladensburg Road, Washington, DC 20018

Agent

Name Role Address
Davis, Margrett Agent 5960 Westmore Dr, Jackson, MS 39206

National Provider Identifier

NPI Number:
1881975621

Authorized Person:

Name:
JAMES C BARDWELL
Role:
CHIEF FINANCIAL OFFICER
Phone:

Taxonomy:

Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
Yes

Contacts:

Filings

Type Status Filed Date Description
Admin Dissolution Filed 2014-12-20 Admin Dissolution: AR
Notice to Dissolve/Revoke Filed 2014-10-13 Notice to Dissolve/Revoke
Formation Form Filed 2011-07-07 Formation

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Date of last update: 10 May 2025

Sources: Company Profile on Mississippi Secretary of State Website