0001646663-15-000001.txt : 20150630
0001646663-15-000001.hdr.sgml : 20150630
20150630172329
ACCESSION NUMBER: 0001646663-15-000001
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20150630
DATE AS OF CHANGE: 20150630
EFFECTIVENESS DATE: 20150630
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: AXIOM PRACTICE MANAGEMENT, LLC
CENTRAL INDEX KEY: 0001646663
IRS NUMBER: 452528279
STATE OF INCORPORATION: AR
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: D
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-242840
FILM NUMBER: 15962218
BUSINESS ADDRESS:
STREET 1: 5100 TALLEY ROAD
STREET 2: SUITE 100
CITY: LITTLE ROCK
STATE: AR
ZIP: 72204
BUSINESS PHONE: 501-781-2777
MAIL ADDRESS:
STREET 1: 5100 TALLEY ROAD
STREET 2: SUITE 100
CITY: LITTLE ROCK
STATE: AR
ZIP: 72204
D
1
primary_doc.xml
X0707
D
LIVE
0001646663
AXIOM PRACTICE MANAGEMENT, LLC
5100 TALLEY ROAD
SUITE 100
LITTLE ROCK
AR
ARKANSAS
72204
501-781-2777
ARKANSAS
None
None
Limited Liability Company
true
2011
Mark
L
Dake
5100 TALLEY ROAD
STE 100
LITTLE ROCK
AR
ARKANSAS
72204
Executive Officer
Director
BRYAN
C
HILLER
5100 TALLEY RD.
STE 100
LITTLE ROCK
AR
ARKANSAS
72204
Executive Officer
Director
MERRITT
D
DAKE
5100 TALLEY ROAD
STE 100
LITTLE ROCK
AR
ARKANSAS
72204
Executive Officer
Director
Other Health Care
Decline to Disclose
- 06b
false
2015-06-19
true
true
true
false
0
Indefinite
0
Indefinite
false
1
0
0
0
false
AXIOM PRACTICE MANAGEMENT, LLC
Joel Carter
Joel Carter
General Counsel
2015-06-30