| Name: | Vyshali Reddy Loupe, MD, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 20 Sep 2011 (13 years ago) |
| Date of dissolution: | 26 Oct 2015 |
| Entity Number: | 000-025-747 |
| Register Number: | 000025747 |
| County: | Jackson |
| Place of Formation: | Jackson County |
| Registered Office Street Address: | 126 E. PEACHTREE STREETSCOTTSBORO, AL 35768 |
| Registered Office Street Address ZIP Code: | 35768 |
Activities
PERFORM MEDICAL TREATMENT AND ALL INCIDENTALS RELATED THERETO
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1295018182 | 2011-09-27 | 2011-09-27 | PO BOX 1050, 380 WOODS COVE ROAD, SCOTTSBORO, AL, 357681050, US | 331 PARKS AVE, SUITE A, SCOTTSBORO, AL, 357682411, US | |||||||||||||||||||||||
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| Phone | +1 256-218-3856 |
| Fax | 2562183536 |
| Phone | +1 256-259-1635 |
| Fax | 2562591685 |
Authorized person
| Name | MR. DAN B NEWELL |
| Role | CHIEF FINANCIAL OFFICER |
| Phone | 2562183856 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | 30028 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| LACKEY, GARY W | Agent |
| Name | Role | Address |
|---|---|---|
| NEWELL, DAN | Organizer | No data |
| BRYANT, KIM | Organizer | 75 14TH STREET SUITE 2710ATLANTA, GA 30309 |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
