| Entity Name: | West River Surgery, LLC |
| Jurisdiction: | Connecticut |
| Legal type: | LLC |
| Citizenship: | Domestic |
| Status: | Active |
| Sub status: | Annual report due |
| Date Formed: | 20 Apr 2022 |
| Business ALEI: | 2542712 |
| Annual report due: | 31 Mar 2025 |
| NAICS code: | 621493 - Freestanding Ambulatory Surgical and Emergency Centers |
| Business address: | 5 Durham Road, Suite 1-8, Guilford, CT, 06437, United States |
| Mailing address: | 5 Durham Road, Suite 1-8, Guilford, CT, United States, 06437 |
| ZIP code: | 06437 |
| County: | New Haven |
| Place of Formation: | CONNECTICUT |
| E-Mail: | derek.steinbacher@gmail.com |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| Derek Steinbacher, M.D., D.M.D | Officer | 5 Durham Road, Unit A8, Guilford, CT, 06437, United States | 5 Durham Road, Unit A8, Guilford, CT, 06437, United States |
| Name | Role | Business address | Mailing address | Phone | Residence address | |
|---|---|---|---|---|---|---|
| Jon Leckerling | Agent | 23 Woodland Road, Suite C-2, Madison, , 06443, United States | 23 Woodland Road, Suite C-2, Madison, CT, 06443, United States | +1 203-988-3971 | jon@lll-legal.com | 19 Grove Ave, Madison, CT, 06443, United States |
| Credential | Credential type | Status | Status reason | Issue date | Effective date | Expiration date |
|---|---|---|---|---|---|---|
| CSP.0081408-FAC | CONTROLLED SUBSTANCE REGISTRATION FOR CLINICS AND OTHER FACILITIES | ACTIVE | CURRENT | 2023-02-10 | 2023-02-10 | 2025-02-28 |
| ASC.0000377 | Out-Patient Surgical Facility | ACTIVE | CURRENT | 2022-08-16 | 2024-07-01 | 2026-06-30 |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012185839 | 2024-03-26 | No data | Annual Report | Annual Report | No data |
| BF-0011508861 | 2023-01-05 | No data | Annual Report | Annual Report | No data |
| BF-0010959435 | 2022-08-08 | 2022-08-08 | Interim Notice | Interim Notice | No data |
| BF-0010560889 | 2022-04-20 | No data | Business Formation | Certificate of Organization | No data |
Date of last update: 25 Nov 2024
Sources: Connecticut's Official State Website
