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OPTUM INFUSION SERVICES 202, INC. - Florida Company Profile

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Company Details

Entity Name: OPTUM INFUSION SERVICES 202, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 12 May 2006 (19 years ago)
Last Event: AMENDMENT
Event Date Filed: 15 Sep 2020 (5 years ago)
Document Number: P06000067752
FEI/EIN Number 20-4881413
Address: 15529 College Blvd, Lenexa, KS, 66219-1351, US
Mail Address: 15529 College Blvd, Lenexa, KS, 66219-1351, US
Place of Formation: FLORIDA

Links between entities

Type:
Headquarter of
Company Number:
001-169-455
State:
ALABAMA

Key Officers & Management

Name Role Address
- Agent -
Carey Kathryn E Director 15529 College Blvd, Lenexa, KS, 662191351
Satterwhite Erin A Director 15529 College Blvd, Lenexa, KS, 662191351
Satterwhite Erin A President 15529 College Blvd, Lenexa, KS, 662191351
Burr Kevin A Secretary 15529 College Blvd, Lenexa, KS, 662191351
Lang Heather A Assi 15529 College Blvd, Lenexa, KS, 662191351
Satterwhite Erin A Chief Executive Officer 15529 College Blvd, Lenexa, KS, 662191351

Unique Entity ID

Unique Entity ID:
YX2EZCNTWHF3
CAGE Code:
9GS24
UEI Expiration Date:
2026-04-07

Business Information

Activation Date:
2025-04-09
Initial Registration Date:
2023-02-17

Commercial and government entity program

CAGE number:
9GS24
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2025-04-09
CAGE Expiration:
2030-04-09
SAM Expiration:
2026-04-07

Contact Information

POC:
RAY MCCASLIN

National Provider Identifier

NPI Number:
1700975802
Certification Date:
2024-12-04

Authorized Person:

Name:
KEVIN EUGENE BURR
Role:
SECRETARY
Phone:

Taxonomy:

Selected Taxonomy:
3336C0004X - Compounding Pharmacy
Is Primary:
No
Selected Taxonomy:
3336M0003X - Managed Care Organization Pharmacy
Is Primary:
No
Selected Taxonomy:
3336S0011X - Specialty Pharmacy
Is Primary:
No
Selected Taxonomy:
3336H0001X - Home Infusion Therapy Pharmacy
Is Primary:
Yes

Contacts:

Fax:
8442501991

Events

Event Type Filed Date Value Description
AMENDMENT 2020-09-15 - -
CHANGE OF PRINCIPAL ADDRESS 2020-05-19 15529 College Blvd., Lenexa, KS 66219-1351 -
CHANGE OF MAILING ADDRESS 2020-05-19 15529 College Blvd., Lenexa, KS 66219-1351 -
NAME CHANGE AMENDMENT 2019-08-28 OPTUM INFUSION SERVICES 202, INC. -
AMENDMENT AND NAME CHANGE 2017-08-17 BRIOVARX INFUSION SERVICES 202, INC. -
REGISTERED AGENT ADDRESS CHANGED 2016-05-16 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 -
REGISTERED AGENT NAME CHANGED 2016-05-16 C T CORPORATION SYSTEM -

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J07000165905 TERMINATED 1000000050990 13993 1602 2007-05-22 2027-05-30 $ 1,984.45 STATE OF FLORIDA, DEPARTMENT OF REVENUE, JACKSONVILLE SERVICE CENTER, 921 N DAVIS ST STE 250A, JACKSONVILLE FL322096825

Documents

Name Date
AMENDED ANNUAL REPORT 2024-10-01
AMENDED ANNUAL REPORT 2024-07-09
ANNUAL REPORT 2024-04-23
ANNUAL REPORT 2023-04-21
ANNUAL REPORT 2022-04-21
ANNUAL REPORT 2021-04-24
Amendment 2020-09-15
AMENDED ANNUAL REPORT 2020-08-25
ANNUAL REPORT 2020-05-19
Name Change 2019-08-28

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Date of last update: 01 Aug 2025

Sources: Florida Department of State