| Name: | Anchorage Dermatology & Cosmetics, LLC |
| Jurisdiction: | Alaska |
| Legal type: | Limited Liability Company |
| Status: | Good Standing |
| Date of registration: | 12 Aug 2019 (6 years ago) |
| Entity Number: | 10111568 |
| ZIP code: | 99518 |
| County: | Anchorage |
| Place of Formation: | ALASKA |
| Address: | 615 E.82ND AVENUE, STE. 204, ANCHORAGE, AK 99518 |
Line of Business
62 Health Care and Social AssistanceNAICS
621111 OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)| Name | Role | Shares |
|---|---|---|
| Courtney Bagayoko | Member | 100.00 |
| Stephanie White-Thorn | Registered Agent | - |
| Plan Name | Plan Year | EIN/PN | Received | Total number of participants | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ANCHORAGE DERMATOLOGY & COSMETICS 401(K) PLAN | 2023 | 841733048 | 2024-06-17 | 0 | |||||||||||||||
|
|||||||||||||||||||
| License Number | Type | Status | Issue Date | Date of renewal | Expiration date | Description |
|---|---|---|---|---|---|---|
| 2091172 | Business License | Active | 2019-08-12 | 2024-12-15 | 2026-12-31 | LOB: 62 - Health Care and Social Assistance, NAICS: 621111 - OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS) |
| License Number | Program | Type | Status | Issue Date | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|
| 159523 | Telemedicine Business Registry | Telemedicine Business Registry | Active | 2020-03-25 | 2020-03-25 | - |
| Inspection Nr | Report ID | Date Opened | Site Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 344827068 | 1050210 | 2020-07-09 | 615 EAST 82ND AVENUE, STE 204, ANCHORAGE, AK, 99518 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Type | Complaint |
| Activity Nr | 1619366 |
| Health | Yes |
Violation Items
| Citation ID | 01001A |
| Citaton Type | Serious |
| Standard Cited | 19101030 C01 I |
| Issuance Date | 2020-09-04 |
| Abatement Due Date | 2020-10-23 |
| Current Penalty | 1400.0 |
| Initial Penalty | 2892.0 |
| Final Order | 2020-09-25 |
| Nr Instances | 1 |
| Nr Exposed | 3 |
| Related Event Code (REC) | Complaint |
| Gravity | 5 |
| FTA Current Penalty | 0.0 |
| Citation ID | 01001B |
| Citaton Type | Serious |
| Standard Cited | 19101030 G02 I |
| Issuance Date | 2020-09-04 |
| Abatement Due Date | 2020-10-23 |
| Current Penalty | 0.0 |
| Initial Penalty | 0.0 |
| Final Order | 2020-09-25 |
| Nr Instances | 2 |
| Nr Exposed | 3 |
| Gravity | 5 |
| FTA Current Penalty | 0.0 |
| Citation ID | 01001C |
| Citaton Type | Serious |
| Standard Cited | 19101030 G01 I H |
| Issuance Date | 2020-09-04 |
| Current Penalty | 0.0 |
| Initial Penalty | 0.0 |
| Final Order | 2020-09-25 |
| Nr Instances | 2 |
| Nr Exposed | 3 |
| Related Event Code (REC) | Complaint |
| Gravity | 5 |
| FTA Current Penalty | 0.0 |
| Citation ID | 01001D |
| Citaton Type | Serious |
| Standard Cited | 19101030 H01 II B |
| Issuance Date | 2020-09-04 |
| Abatement Due Date | 2020-10-23 |
| Current Penalty | 0.0 |
| Initial Penalty | 0.0 |
| Final Order | 2020-09-25 |
| Nr Instances | 2 |
| Nr Exposed | 2 |
| Gravity | 5 |
| FTA Current Penalty | 0.0 |
| Citation ID | 01002A |
| Citaton Type | Serious |
| Standard Cited | 19101200 E01 |
| Issuance Date | 2020-09-04 |
| Abatement Due Date | 2020-10-23 |
| Current Penalty | 900.0 |
| Initial Penalty | 1735.0 |
| Final Order | 2020-09-25 |
| Nr Instances | 4 |
| Nr Exposed | 3 |
| Gravity | 1 |
| FTA Current Penalty | 0.0 |
| Citation ID | 01002B |
| Citaton Type | Serious |
| Standard Cited | 19101200 F06 |
| Issuance Date | 2020-09-04 |
| Abatement Due Date | 2020-10-23 |
| Current Penalty | 0.0 |
| Initial Penalty | 0.0 |
| Final Order | 2020-09-25 |
| Nr Instances | 2 |
| Nr Exposed | 3 |
| Gravity | 1 |
| FTA Current Penalty | 0.0 |
| Citation ID | 01002C |
| Citaton Type | Serious |
| Standard Cited | 19101200 H01 |
| Issuance Date | 2020-09-04 |
| Abatement Due Date | 2020-10-23 |
| Current Penalty | 0.0 |
| Initial Penalty | 0.0 |
| Final Order | 2020-09-25 |
| Nr Instances | 3 |
| Nr Exposed | 3 |
| Gravity | 1 |
| FTA Current Penalty | 0.0 |
| Citation ID | 01002D |
| Citaton Type | Serious |
| Standard Cited | 19101200 G01 |
| Issuance Date | 2020-09-04 |
| Current Penalty | 0.0 |
| Initial Penalty | 0.0 |
| Final Order | 2020-09-25 |
| Nr Instances | 5 |
| Nr Exposed | 3 |
| Related Event Code (REC) | Complaint |
| Gravity | 1 |
| FTA Current Penalty | 0.0 |
| Citation ID | 02001 |
| Citaton Type | Other |
| Standard Cited | 19100037 B02 |
| Issuance Date | 2020-09-04 |
| Current Penalty | 0.0 |
| Initial Penalty | 0.0 |
| Final Order | 2020-09-25 |
| Nr Instances | 2 |
| Nr Exposed | 3 |
| FTA Current Penalty | 0.0 |
| Citation ID | 02002 |
| Citaton Type | Other |
| Standard Cited | 19100037 B05 |
| Issuance Date | 2020-09-04 |
| Current Penalty | 0.0 |
| Initial Penalty | 0.0 |
| Final Order | 2020-09-25 |
| Nr Instances | 2 |
| Nr Exposed | 3 |
| FTA Current Penalty | 0.0 |
| Citation ID | 02003 |
| Citaton Type | Other |
| Standard Cited | 19100305 J01 I |
| Issuance Date | 2020-09-04 |
| Current Penalty | 0.0 |
| Initial Penalty | 0.0 |
| Final Order | 2020-09-25 |
| Nr Instances | 1 |
| Nr Exposed | 3 |
| FTA Current Penalty | 0.0 |
| Citation ID | 02004 |
| Citaton Type | Other |
| Standard Cited | 8 AAC 61.1110(A) |
| Issuance Date | 2020-09-04 |
| Current Penalty | 0.0 |
| Initial Penalty | 0.0 |
| Final Order | 2020-09-25 |
| Nr Instances | 1 |
| Nr Exposed | 3 |
| FTA Current Penalty | 0.0 |
| Citation ID | 02005 |
| Citaton Type | Other |
| Standard Cited | 8 AAC 61.1110(F)(4) |
| Issuance Date | 2020-09-04 |
| Abatement Due Date | 2020-10-23 |
| Current Penalty | 0.0 |
| Initial Penalty | 0.0 |
| Final Order | 2020-09-25 |
| Nr Instances | 3 |
| Nr Exposed | 3 |
| FTA Current Penalty | 0.0 |
| Citation ID | 02006 |
| Citaton Type | Other |
| Standard Cited | 19100132 D01 I |
| Issuance Date | 2020-09-04 |
| Current Penalty | 0.0 |
| Initial Penalty | 0.0 |
| Final Order | 2020-09-25 |
| Nr Instances | 2 |
| Nr Exposed | 3 |
| Related Event Code (REC) | Complaint |
| FTA Current Penalty | 0.0 |
Date of last update: 18 Feb 2025
Sources: State of Alaska - Department of Commerce, Community, and Economic Development
