0001360647-23-000001.txt : 20231208 0001360647-23-000001.hdr.sgml : 20231208 20231208164101 ACCESSION NUMBER: 0001360647-23-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20231208 DATE AS OF CHANGE: 20231208 EFFECTIVENESS DATE: 20231208 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Greater Michigan Lithotripsy, LLC CENTRAL INDEX KEY: 0001360647 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-499199 FILM NUMBER: 231476000 BUSINESS ADDRESS: STREET 1: 100 W 3RD AVE STREET 2: SUITE 350 CITY: COLUMBUS STATE: OH ZIP: 43201 BUSINESS PHONE: 614-298-8150 MAIL ADDRESS: STREET 1: 100 W 3RD AVE STREET 2: SUITE 350 CITY: COLUMBUS STATE: OH ZIP: 43201 FORMER COMPANY: FORMER CONFORMED NAME: Greater Michigan Lithotripsy LLC DATE OF NAME CHANGE: 20060426 D 1 primary_doc.xml X0708 D LIVE 0001360647 Greater Michigan Lithotripsy, LLC 100 W 3RD AVE SUITE 350 COLUMBUS OH OHIO 43201 614-298-8150 DELAWARE Greater Michigan Lithotripsy LLC Limited Liability Company true Gregor Blix, MD 100 W 3rd Ave Suite 350 Columbus OH OHIO 43201 Executive Officer Director "Directors" are referred to as "Managers" in this entity. Patrick M. Hurley, M.D. 100 W 3rd Ave Suite 350 Columbus OH OHIO 43201 Executive Officer Director "Directors" are referred to as "Managers" in this entity. Kenneth Lim, D.O. 100 W 3rd Ave Suite 350 Columbus OH OHIO 43201 Director "Directors" are referred to as "Managers" in this entity. John Lobo, M.D. 100 W 3rd Ave Suite 350 Columbus OH OHIO 43201 Director "Directors" are referred to as "Managers" in this entity. Michael Traver, M.D. 100 W 3rd Ave Suite 350 Columbus OH OHIO 43201 Director "Directors" are referred to as "Managers" in this entity. Gregory Weigler, D.O. 100 W 3rd Ave Suite 350 Columbus OH OHIO 43201 Director "Directors" are referred to as "Managers" in this entity. Ronald Rubenstein, M.D. 100 W 3rd Ave Suite 350 Columbus OH OHIO 43201 Director "Directors" are referred to as "Managers" in this entity. Phil Wise, M.D. 100 W 3rd Ave Suite 350 Columbus OH OHIO 43201 Director "Directors" are referred to as "Managers" in this entity. Bradley Rosenberg, M.D. 100 W 3rd Ave Suite 350 Columbus OH OHIO 43201 Director "Directors" are referred to as "Managers" in this entity. Jon Shull 100 W 3rd Ave Suite 350 Columbus OH OHIO 43201 Executive Officer Director "Directors" are referred to as "Managers" in this entity. Rebecca Moody 100 W 3rd Ave Suite 350 Columbus OH OHIO 43201 Director "Directors" are referred to as "Managers" in this entity. Theresa Perry 100 W. 3rd Ave. Suite 350 Columbus OH OHIO 43201 Director "Directors" are referred to "Managers" in this entity. Erik Ratchford, M.D. 100 W. 3rd Ave. Suite 350 Columbus OH OHIO 43201 Director "Directors" are referred to as "Managers" in this entity. Other Health Care Decline to Disclose 06b false 2023-12-01 false true true false 13200 211200 39823 171377 false 1 0 0 0 false Greater Michigan Lithotripsy, LLC /s/ Theresa Perry Theresa Perry Secretary of AKSM, Ltd. its Management Co. 2023-12-07