Name: | Vascular Associates of South Alabama, LLC |
Jurisdiction: | Alabama |
Legal type: | Domestic Limited Liability Company |
Status: | Exists |
Date of registration: | 23 May 2012 (12 years ago) (Companies founded in May 2012) |
Entity Number: | 000-058-357 |
Register Number: | 000058357 |
Historical Names: |
SOMO, LLC
|
ZIP code: | 36608 (Companies in Mobile, 36608) |
County: | Mobile |
Place of Formation: | Mobile County |
Registered Office Street Address: | 124 A SOUTH UNIVERSITY BOULEVARDMOBILE, AL 36608 |
Activities
ANY LAWFUL ACT OR ACTIVITY
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1801282868 | 2015-04-07 | 2019-04-19 | PO BOX 850849, MOBILE, AL, 366850849, US | 1551 OLD SHELL RD, MOBILE, AL, 366041354, US | |||||||||||||||||||||
|
Phone | +1 251-343-5004 |
Fax | 2513430833 |
Phone | +1 251-410-8272 |
Fax | 2514108273 |
Authorized person
Name | ANDREW RADOSZEWSKI |
Role | PRACTICE ADMINISTRATOR |
Phone | 2513006969 |
Taxonomy
Taxonomy Code | 2086S0129X - Vascular Surgery Physician |
State | AL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
BUTERA, PHILIP J | Organizer | 6432 CANEBRAKE ROADMOBILE, AL 36695 |
DENISON, TODD L | Organizer | 101 DAUPHIN ST STE 1000MOBILE, AL 36602 |
Name | Role | Address |
---|---|---|
WILBER, STEPHEN P | Agent | 124A SOUTH UNIVERSITY BLVDMOBILE, AL 36608 |
Event Date | Event Type | Old Value | New Value |
---|---|---|---|
2015-04-01 | Name Change | SOMO, LLC | Vascular Associates of South Alabama, LLC |
Date of last update: 31 Jul 2024
Sources: Alabama Secretary of State