| Name: | Solstas Lab Partners Group, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Limited Liability Company |
| Status: | Merged |
| Date of registration: | 07 Mar 1997 (28 years ago) (Companies founded in March 1997) |
| Entity Number: | 000-006-375 |
| Register Number: | 000006375 |
| ZIP code: | 36104 (Companies in Montgomery, 36104) |
| County: | Montgomery |
| Place of Formation: | North Carolina |
| Principal Address: | 4380 FEDERAL DRIVE SUITE 100GREENSBORO, NC 27410 |
| Registered Office Street Address: | 641 SOUTH LAWRENCE STREETMONTGOMERY, AL 36104 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1407806144 | 2006-05-11 | 2017-04-24 | 1201 S COLLEGEVILLE RD, COLLEGEVILLE, PA, 194262998, US | 2732 7TH AVE S, BIRMINGHAM, AL, 352333406, US | |||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 610-454-6146 |
| Fax | 4846765188 |
| Phone | +1 205-313-1240 |
| Fax | 2053131250 |
Authorized person
| Name | WILSON R CONDE |
| Role | VICE PRESIDENT |
| Phone | 9735202911 |
Taxonomy
| Taxonomy Code | 291U00000X - Clinical Medical Laboratory |
| License Number | 12279 |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 291U00000X - Clinical Medical Laboratory |
| License Number | 01D1015388 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 051554061 |
| State | AL |
| Issuer | BCBS OF AL PROVIDER NUMBE |
| Number | 51517309 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| CORPORATION SERVICE COMPANY INC | Agent | 251 LITTLE FALLS DRIVEWILMINGTON, DE 19808 |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
