| Name: | Omni Clinic, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 23 Jun 2000 (24 years ago) |
| Entity Number: | 000-210-938 |
| Register Number: | 000210938 |
| Historical Names: |
Oxford Medical Clinic, P.C.
|
| County: | Calhoun |
| Place of Formation: | Calhoun County |
| Principal Address: | ANNISTON, AL |
| Registered Office Street Address: | 1021 NOBLE STREET STE 205ANNISTON, AL 36201 |
| Registered Office Street Address ZIP Code: | 36201 |
| Authorized Capital: | 1,000 NPV |
| Paid Share Capital: | $100 |
Activities
PRACTICE OF MEDICINE/ANCILLARY MEDICAL SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1417168485 | 2007-05-24 | 2007-07-24 | 1306 LEIGHTON AVE, ANNISTON, AL, 362074614, US | 1306 LEIGHTON AVE, ANNISTON, AL, 362074614, US | |||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||
| Phone | +1 256-236-3031 |
Authorized person
| Name | DR. ADETOKUNBO LADIPO |
| Role | MEDICAL DIRECTOR |
| Phone | 2562363031 |
Taxonomy
| Taxonomy Code | 207RS0012X - Sleep Medicine (Internal Medicine) Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | ABAYOMI SANUSI MD- NPI NU |
| Number | 1417055179 |
| State | AL |
| Issuer | OMNI CLINIC -GROUP NPI NU |
| Number | 1417168485 |
| State | AL |
| Issuer | ADETOKUNBO LADIPO MD- NPI |
| Number | 1972601607 |
| State | AL |
| Name | Role |
|---|---|
| SANUSI, ABAYOMI | Agent |
| Name | Role |
|---|---|
| SANUSI, ABAYOMI | Incorporator |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2000-11-14 | Name Change | Oxford Medical Clinic, P.C. | Omni Clinic, P.C. |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
