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Scottsboro Medical Clinic LLC

Details

Name: Scottsboro Medical Clinic LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 01 Jun 2011 (13 years ago) (Companies founded in June 2011)
Date of dissolution: 30 Oct 2013
Entity Number: 000-014-533
Register Number: 000014533
ZIP code: 35768 (Companies in Jackson, 35768)
County: Jackson
Place of Formation: Jackson County
Registered Office Street Address: 506 HARLEY STSCOTTSBORO, AL 35768

Activities MEDICAL CARE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1477847713 2011-06-03 2011-06-03 PO BOX 56, SCOTTSBORO, AL, 357680056, US 506 HARLEY ST, SCOTTSBORO, AL, 357684219, US

Contacts

Phone +1 256-574-6157
Fax 2562590560

Authorized person

Name MUHAMMAD E ATA
Role OWNER
Phone 2564511250

Taxonomy

Taxonomy Code 261Q00000X - Clinic/Center
State AL
Is Primary Yes

Agent

Name Role Address
ATA, MUHAMMAD Agent 6110 COUNTY ROAD 88PISGAH, AL 35765

Organizer

Name Role Address
ATA, MUHAMMAD Organizer 6110 COUNTY ROAD 88PISGAH, AL 35765
ASGHAR, NABILA Organizer No data

Date of last update: 30 Jul 2024

Sources: Alabama Secretary of State