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SOUTHSIDE MEDICAL SUPPLY, LLC

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Company Details

Name: SOUTHSIDE MEDICAL SUPPLY, LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 28 Oct 2005 (20 years ago)
Entity Number: 3274749
ZIP code: 14618
County: Monroe
Place of Formation: New York
Address: 1815 S CLINTON AVE, STE 405, ROCHESTER, NY, United States, 14618

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 1815 S CLINTON AVE, STE 405, ROCHESTER, NY, United States, 14618

National Provider Identifier

NPI Number:
1568413656

Authorized Person:

Name:
MS. KELLY A DOLES
Role:
BILLING MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
335E00000X - Prosthetic/Orthotic Supplier
Is Primary:
No
Selected Taxonomy:
332BP3500X - Parenteral & Enteral Nutrition Supplies (DME)
Is Primary:
No
Selected Taxonomy:
332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary:
Yes

Contacts:

Fax:
5854196163

Form 5500 Series

Employer Identification Number (EIN):
203705856
Plan Year:
2012
Number Of Participants:
13
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
13
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
15
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
15
Sponsors Telephone Number:
Plan Year:
2009
Number Of Participants:
14
Sponsors Telephone Number:

History

Start date End date Type Value
2005-10-28 2009-10-27 Address 1815 SOUTH CLINTON AVE STE 405, ROCHESTER, NY, 14618, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
131016006341 2013-10-16 BIENNIAL STATEMENT 2013-10-01
120413002104 2012-04-13 BIENNIAL STATEMENT 2011-10-01
091027002440 2009-10-27 BIENNIAL STATEMENT 2009-10-01
071119002301 2007-11-19 BIENNIAL STATEMENT 2007-10-01
060208001239 2006-02-08 AFFIDAVIT OF PUBLICATION 2006-02-08

USAspending Awards / Financial Assistance

Date:
2009-05-12
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Obligated Amount:
0.00
Face Value Of Loan:
100000.00
Total Face Value Of Loan:
100000.00
Date:
2009-05-12
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Obligated Amount:
0.00
Face Value Of Loan:
250000.00
Total Face Value Of Loan:
250000.00

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Date of last update: 29 Mar 2025

Sources: New York Secretary of State