| Entity Name: | COASTAL DIGESTIVE CARE CENTER, LLC |
| Jurisdiction: | Connecticut |
| Legal type: | LLC |
| Citizenship: | Domestic |
| Status: | Active |
| Sub status: | Annual report due |
| Date Formed: | 03 May 2002 (Companies founded in May 2002) |
| Business ALEI: | 0713787 |
| Annual report due: | 31 Mar 2025 |
| NAICS code: | 621493 - Freestanding Ambulatory Surgical and Emergency Centers |
| Business address: | 234 A BANK STREET 4TH FLOOR, NEW LONDON, CT, 06320, United States |
| Mailing address: | 234 A BANK STREET 4TH FLOOR, NEW LONDON, CT, United States, 06320 |
| ZIP code: | 06320 (Companies in New London, 06320) |
| County: | New London |
| Place of Formation: | CONNECTICUT |
| E-Mail: | jsullivan@coastaldigestive.com |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| MICAL CAMPBELL | Officer | 234A BANK STREET, 4TH FLOOR, NEW LONDON, CT, 06320, United States | 9 NATHAN HALE DR, EAST LYME, CT, 06333, United States |
| AMZAD KHAN | Officer | 234 A BANK STREET, 4TH FLOOR, NEW LONDON, CT, 06320, United States | 2 ESTHER POND LANE, EAST LYME, CT, 06333, United States |
| DR JOHN FRESE JR. | Officer | 234A BANK STREET, 4TH FLOOR, NEW LONDON, CT, 06320, United States | 88 Goose Hill Rd, Chester, CT, 06412-1229, United States |
| EUGENE SAPOZHNIKOV | Officer | 234A BANK STREET, 4TH FLOOR, NEW LONDON, CT, 06320, United States | 15 JARVIS ROAD, OLD SAYBROOK, CT, 06475, United States |
| Name | Role | Business address | Mailing address | Residence address | |
|---|---|---|---|---|---|
| JOHN FRESE, JR., M.D. | Agent | 234 A BANK STREET 4TH FLOOR, NEW LONDON, CT, 06320, United States | 234 A BANK STREET 4TH FLOOR, NEW LONDON, CT, 06320, United States | jfrese@connecticutgi.org | 88 Goose Hill Rd, Chester, CT, 06412-1229, United States |
| Credential | Credential type | Status | Status reason | Issue date | Effective date | Expiration date |
|---|---|---|---|---|---|---|
| ASC.0000303 | Out-Patient Surgical Facility | ACTIVE | CURRENT | 2009-04-01 | 2023-04-01 | 2025-03-31 |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012087059 | 2024-01-29 | No data | Annual Report | Annual Report | No data |
| BF-0011795716 | 2023-05-08 | 2023-05-08 | Change of Agent | Agent Change | No data |
| BF-0011407455 | 2023-02-01 | No data | Annual Report | Annual Report | No data |
| BF-0010376310 | 2022-03-23 | No data | Annual Report | Annual Report | 2022 |
| 0007327803 | 2021-05-10 | No data | Annual Report | Annual Report | 2021 |
| 0006853972 | 2020-03-30 | No data | Annual Report | Annual Report | 2020 |
| 0006503172 | 2019-03-28 | No data | Annual Report | Annual Report | 2019 |
| 0006135645 | 2018-03-23 | No data | Annual Report | Annual Report | 2018 |
| 0005820249 | 2017-04-17 | No data | Annual Report | Annual Report | 2017 |
| 0005544095 | 2016-04-19 | No data | Annual Report | Annual Report | 2016 |
Date of last update: 11 Nov 2024
Sources: Connecticut's Official State Website
