Gastroenterology Consultants of Tuscaloosa, LLC

Details

Name:	Gastroenterology Consultants of Tuscaloosa, LLC
Jurisdiction:	Alabama
Legal type:	Domestic Limited Liability Company
Status:	Exists
Date of registration:	02 Oct 2003 (21 years ago)
Entity Number:	000-231-374
Register Number:	000231374
Historical Names:	Gastroenterology Consultants of Tuscaloosa, Inc.
County:	Tuscaloosa
Place of Formation:	Tuscaloosa County
Principal Address:	100 RICE MINE ROADTUSCALOOSA, AL 35406
Principal Address ZIP Code:	35406

Activities LAB/CLINIC FOR DIAGNOSTIC EXAMINATIONS/EVALUATIONS/TESTING

NPI

Enumeration Date

Last Update Date

Mailing Address

Practice Location Address

1275725673

2007-08-10

2014-08-26

100 RICE MINE RD N, STE E, TUSCALOOSA, AL, 354062375, US

Contacts

Phone	+1 205-345-0010
Fax	2057521175

Authorized person

Taxonomy

Taxonomy Code	261QA1903X - Ambulatory Surgical Clinic/Center
License Number	U6302
State	AL
Is Primary	Yes

Other Provider Identifiers

Name	Role	Address
ADI B. REDDY, M.D.	Agent	100 RICE MINE ROADTUSCALOOSA, AL 35406

Name	Role	Address
REDDY, A B	Incorporator	100 RICE MINE ROAD NORTH SUITE ETUSCALOOSA, AL 35406

Name	Role	Address
ADI B. REDDY, M.D.	Organizer	100 RICE MINE ROADTUSCALOOSA, AL 35406

Event Date	Event Type	Old Value	New Value
2024-06-20	Name Change	Gastroenterology Consultants of Tuscaloosa, Inc.	Gastroenterology Consultants of Tuscaloosa, LLC

Date of last update: 02 Aug 2024