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Huntsville Clinic Lab, LLC

Details

Name: Huntsville Clinic Lab, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 27 Jul 2011 (13 years ago) (Companies founded in July 2011)
Date of dissolution: 16 May 2019
Entity Number: 000-021-095
Register Number: 000021095
ZIP code: 35801 (Companies in Madison, 35801)
County: Madison
Place of Formation: Madison County
Registered Office Street Address: 420 LOWELL DRHUNTSVILLE, AL 35801

Activities OPERATE CLINICAL LABE FOR MEDICAL PATIENTS

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1336424555 2011-10-19 2011-10-19 420 LOWELL DR SE, SUITE 201, HUNTSVILLE, AL, 358013754, US 420 LOWELL DR SE, SUITE 201, HUNTSVILLE, AL, 358013754, US

Contacts

Phone +1 256-535-5944
Fax 8883894041

Authorized person

Name DR. TOBIN JOE FISHER
Role CLINIC DIRECTOR
Phone 2565355944

Taxonomy

Taxonomy Code 291U00000X - Clinical Medical Laboratory
State AL
Is Primary Yes

Organizer

Name Role Address
FISHER, TOBIN J Organizer 4825 INGLEWOOD CTOWENS CROSS ROADS, AL 35763
GARBER, JEFFERY G Organizer 9515 LYNN TERRACEHUNTSVILLE, AL 35803
HERRINGTON, STEPHEN F Organizer 1520 TONEY DRHUNTSVILLE, AL 35802
CALDERWOOD, DAVID K Organizer 420 LOWELL DR SEHUNTSVILLE, AL 35801

Agent

Name Role Address
FISHER, TOBIN J Agent 4825 INGLEWOOD CTOWENS CROSS ROADS, AL 35763

Date of last update: 30 Jul 2024

Sources: Alabama Secretary of State