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Vascular Associates of South Alabama, LLC

Details

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

National Provider Identifier

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

Contacts

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

Organizer

Name Role Address
BUTERA, PHILIP J Organizer 6432 CANEBRAKE ROADMOBILE, AL 36695
DENISON, TODD L Organizer 101 DAUPHIN ST STE 1000MOBILE, AL 36602

Agent

Name Role Address
WILBER, STEPHEN P Agent 124A SOUTH UNIVERSITY BLVDMOBILE, AL 36608

Events

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