| Entity Name: | WILTON SURGERY CENTER, LLC |
| Jurisdiction: | Connecticut |
| Legal type: | LLC |
| Citizenship: | Domestic |
| Status: | Active |
| Sub status: | Annual report due |
| Date Formed: | 09 Dec 2002 |
| Business ALEI: | 0733298 |
| Annual report due: | 31 Mar 2025 |
| NAICS code: | 621111 - Offices of Physicians (except Mental Health Specialists) |
| Business address: | 1A Burton Hills Blvd Ste 300, Nashville, TN, 37215-6153, United States |
| Mailing address: | 1A Burton Hills Blvd Ste 300, Nashville, TN, United States, 37215-6153 |
| Place of Formation: | TENNESSEE |
| E-Mail: | compliancemail@cscglobal.com |
| CIK number | Mailing Address | Business Address | Phone | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1455373 | 191 NORTH WACKER DRIVE, SUITE 925, CHICAGO, IL, 60606 | 191 NORTH WACKER DRIVE, SUITE 925, CHICAGO, IL, 60606 | 972-284-7220 | |||||||||
|
||||||||||||
| Form type | REGDEX |
| File number | 021-126529 |
| Filing date | 2009-01-27 |
| File | View File |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| Alan Hale | Officer | 1A Burton Hills Blvd Ste 300, Nashville, TN, 37215-6153, United States | 1A Burton Hills Blvd Ste 300, Nashville, TN, 37215-6153, United States |
| John Grant | Officer | 1A Burton Hills Blvd Ste 300, Nashville, TN, 37215-6153, United States | 1A Burton Hills Blvd Ste 300, Nashville, TN, 37215-6153, United States |
| Kim Kollar | Officer | 1A Burton Hills Blvd Ste 300, Nashville, TN, 37215-6153, United States | 1A Burton Hills Blvd Ste 300, Nashville, TN, 37215-6153, United States |
| Credential | Credential type | Status | Status reason | Issue date | Effective date | Expiration date |
|---|---|---|---|---|---|---|
| ASC.0000289 | Out-Patient Surgical Facility | ACTIVE | CURRENT | 2009-07-01 | 2023-07-01 | 2025-06-30 |
| CSP.0037688 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | INACTIVE | WITHDRAWN | 2005-06-28 | 2005-06-28 | 2006-02-28 |
| CSP.0037620-FAC | CONTROLLED SUBSTANCE REGISTRATION FOR CLINICS AND OTHER FACILITIES | ACTIVE | CURRENT | 2005-06-14 | 2023-03-01 | 2025-02-28 |
| Type | Old value | New value | Date of change |
|---|---|---|---|
| Name change | WILTON PAIN MANAGEMENT CENTER, LLC | WILTON SURGERY CENTER, LLC | 2004-10-06 |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012066266 | 2024-03-19 | No data | Annual Report | Annual Report | No data |
| BF-0011271883 | 2023-04-03 | No data | Annual Report | Annual Report | No data |
| BF-0010299455 | 2022-03-31 | No data | Annual Report | Annual Report | 2022 |
| BF-0010453301 | 2022-01-14 | 2022-01-14 | Mass Agent Change � Address | Agent Address Change | No data |
| 0007225207 | 2021-03-11 | No data | Annual Report | Annual Report | 2021 |
| 0006943532 | 2020-07-06 | 2020-07-06 | Change of Agent Address | Agent Address Change | No data |
| 0006950703 | 2020-07-06 | 2020-07-06 | Change of Agent Address | Agent Address Change | No data |
| 0006761661 | 2020-02-19 | No data | Annual Report | Annual Report | 2020 |
| 0006429469 | 2019-03-06 | No data | Annual Report | Annual Report | 2019 |
| 0006110692 | 2018-03-07 | No data | Annual Report | Annual Report | 2018 |
Date of last update: 20 Jan 2025
Sources: Connecticut's Official State Website
