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Decatur Diagnostic Laboratory, Inc.

Details

Name: Decatur Diagnostic Laboratory, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 30 Dec 1991 (33 years ago)
Entity Number: 000-146-912
Register Number: 000146912
County: Morgan
Place of Formation: Morgan County
Principal Address: DECATUR, AL
Registered Office Street Address: 2828 HWY 31 SDECATUR, AL 35601
Registered Office Street Address ZIP Code: 35601
Authorized Capital: $1,000

Activities CLINICAL LABORATORY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1598729089 2006-04-13 2008-07-29 2828 HIGHWAY 31 S, DECATUR, AL, 356031538, US 2828 HIGHWAY 31 S, DECATUR, AL, 356031538, US

Contacts

Phone +1 256-355-9045
Fax 2563559061

Authorized person

Name MRS. KELLY ENGLAND
Role LAB MANAGER
Phone 2563559045

Taxonomy

Taxonomy Code 291U00000X - Clinical Medical Laboratory
Is Primary Yes

Incorporator

Name Role Address
COSTELLO, SAMUEL M Incorporator 3220 HWY 31 SOUTH BLDG A-2DECATUR, AL 35603

Agent

Name Role Address
COSTELLO, SAMUEL M Agent 3220 HWY 31 SOUTH BLDG A-2DECATUR, AL 35603

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State