| Entity Name: | FAIRFIELD CLINICAL SERVICES LLC |
| Jurisdiction: | Connecticut |
| Legal type: | LLC |
| Citizenship: | Domestic |
| Status: | Forfeited |
| Date Formed: | 22 Oct 2021 |
| Business ALEI: | 2369030 |
| Annual report due: | 31 Mar 2022 |
| NAICS code: | 621999 - All Other Miscellaneous Ambulatory Health Care Services |
| Business address: | 978 E MAIN ST, BRIDGEPORT, CT, 06608, United States |
| Mailing address: | 978 E MAIN ST, BRIDGEPORT, CT, United States, 06608 |
| ZIP code: | 06608 |
| County: | Fairfield |
| Place of Formation: | CONNECTICUT |
| E-Mail: | efile1234@incfile.com |
| Name | Role | Business address | Mailing address | Phone | Residence address | |
|---|---|---|---|---|---|---|
| LAKSHMANA PUDIPEDDI | Agent | 978 E MAIN ST, BRIDGEPORT, CT, 06608, United States | 978 E MAIN ST, BRIDGEPORT, CT, 06608, United States | +1 203-305-6109 | efile1234@incfile.com | 30 COLONIAL DR, MONROE, CT, 06468, United States |
| Name | Role | Business address | Phone | Residence address | |
|---|---|---|---|---|---|
| LAKSHMANA PUDIPEDDI | Officer | 978 E MAIN ST, BRIDGEPORT, CT, 06608, United States | +1 203-305-6109 | efile1234@incfile.com | 30 COLONIAL DR, MONROE, CT, 06468, United States |
| RAJENDRA APPALANENI | Officer | 62 STONEY RIDGE RD, SADDLE RIVER, NJ, 07458, United States | No data | No data | 62 STONEY RIDGE ROAD, SADDLE RIVER, NJ, 07458, United States |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012689808 | 2024-07-15 | No data | Administrative Dissolution | Certificate of Dissolution/Revocation | No data |
| BF-0012604432 | 2024-04-11 | No data | Administrative Dissolution | Notice of Intent to Dissolve/Revoke | No data |
| BF-0010134464 | 2021-10-22 | No data | Business Formation | Certificate of Organization | No data |
Date of last update: 20 Jan 2025
Sources: Connecticut's Official State Website
