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Scottsboro Diagnostic Center, LLC

Details

Name: Scottsboro Diagnostic Center, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 20 Jul 2012 (12 years ago) (Companies founded in July 2012)
Date of dissolution: 21 Dec 2017
Entity Number: 000-071-452
Register Number: 000071452
ZIP code: 35768 (Companies in Jackson, 35768)
County: Jackson
Place of Formation: Jackson County
Registered Office Street Address: 506 HARLEY STREETSCOTTSBORO, AL 35768

Activities OPERATE ONE OR MORE MEDICAL DIAGNOSTIC CENTERS

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1396092730 2012-08-03 2012-08-03 506 HARLEY STREET, SCOTTSBORO, AL, 357684219, US 506 HARLEY STREET, SCOTTSBORO, AL, 357684219, US

Contacts

Phone +1 256-574-6157
Fax 2562590560

Authorized person

Name MR. ZAHEER A KHAN
Role OWNER
Phone 2565065196

Taxonomy

Taxonomy Code 261Q00000X - Clinic/Center
License Number MD18162
State AL
Is Primary Yes

Agent

Name Role Address
KHAN, ZAHEER A Agent 3007 MEMORIAL PKWY SWHUNTSVILLE, AL 35801

Organizer

Name Role Address
KHAN, ZAHEER Organizer 3007 MEMORIAL PARKWAY SW UNIT BHUNTSVILLEED, AL 35801
KHAN, ZAHEER A Organizer 3007 MEMORIAL PKWY SWHUNTSVILLE, AL 35801
COOPER, MARK Organizer 145 OAKMONT STREETHEFLIN, AL 36264
SIMS, ANTHONY Organizer 18324 ALABAMA HIGHWAY 75HENAGAR, AL 35978
CALHOUN, RONALD Organizer No data

Date of last update: 31 Jul 2024

Sources: Alabama Secretary of State