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HOOVER RADIOLOGY,LLC

Details

Name: HOOVER RADIOLOGY,LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 03 Feb 2012 (13 years ago) (Companies founded in February 2012)
Entity Number: 000-027-598
Register Number: 000027598
ZIP code: 36879 (Companies in Lee, 36879)
County: Lee
Place of Formation: Lee County
Principal Address: 1907 W FARMVILLE RDWAVERLY, AL 36879

Activities TO PERFORM RADIOLOGY SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1932535556 2013-09-16 2013-09-16 PO BOX 242848, MONTGOMERY, AL, 361242848, US 4135 ATLANTA HWY, MONTGOMERY, AL, 361093022, US

Contacts

Phone +1 334-386-5315
Fax 3345320117
Phone +1 334-819-8702

Authorized person

Name DR. JASON HOOVER
Role OWNER
Phone 2054223424

Taxonomy

Taxonomy Code 2085R0202X - Diagnostic Radiology Physician
License Number MD.29612
State AL
Is Primary Yes

Agent

Name Role Address
HOOVER, JASON A Agent 1907 W FARMVILLE RDWAVERLY, AL 36879

Organizer

Name Role Address
HOOVER, JASON A Organizer 1907 W FARMVILLE RDWAVERLY, AL 36879

Date of last update: 30 Jul 2024

Sources: Alabama Secretary of State