| Name: | Michelle Randolph, M.D., P.C. |
| Jurisdiction: | Alaska |
| Legal type: | Professional Corporation |
| Status: | Good Standing |
| Date of registration: | 04 Feb 2013 (12 years ago) |
| Entity Number: | 10010785 |
| ZIP code: | 99508 |
| County: | Anchorage |
| Place of Formation: | ALASKA |
| Address: | 2741 DEBARR ROAD SUITE 402, ANCHORAGE, AK 99508 |
Line of Business
62 Health Care and Social AssistanceNAICS
621111 OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)| Name | Role |
|---|---|
| Michelle Randolph | Treasurer |
| Michelle Randolph | Vice President |
| Michelle Randolph | Director |
| Michelle Randolph | President |
| Michelle Randolph | Secretary |
| Michelle Randolph | Shareholder |
| Carolyn Heyman-Layne | Registered Agent |
| Plan Name | Plan Year | EIN/PN | Received | Total number of participants | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MICHELLE RANDOLPH, M.D., P.C. 401(K) PLAN | 2023 | 462106759 | 2024-08-27 | 4 | |||||||||||||||
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| MICHELLE RANDOLPH, M.D., P.C. 401(K) PLAN | 2022 | 462106759 | 2023-09-25 | 3 | |||||||||||||||
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| Type | License Number | Status | Date of issue | Date of renewal | Expiration date | Description |
|---|---|---|---|---|---|---|
| Business License | 985754 | Active | 2013-02-22 | 2022-11-08 | 2024-12-31 | LOB: 62 - Health Care and Social Assistance, NAICS: 621111 - OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS) |
| Telemedicine Business Registry | 159290 | Active | 2020-03-25 | - | - | - |
Date of last update: 11 Jan 2025
Sources: State of Alaska - Department of Commerce, Community, and Economic Development
