| Name: | Midway Medical Clinic, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 19 Feb 2013 (12 years ago) |
| Entity Number: | 000-274-281 |
| Register Number: | 000274281 |
| County: | Jackson |
| Place of Formation: | Jackson County |
| Principal Address: | 6110 COUNTY RD 88PISGAH, AL 35765 |
| Principal Address ZIP Code: | 35765 |
| Principal Mailing Address: | PO BOX 143PISGAH, AL 35765 |
| Principal Mailing Address ZIP Code: | 35765 |
Activities
HEALTH CARE SERVICES
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GCVVJBR4AF94 | 2022-07-09 | 27550 STATE HIGHWAY 75 STE 105, ONEONTA, AL, 35121, 3204, USA | 27550 STATE HWY 75 SUITE 105, ONEONTA, AL, 35121, 3204, USA | |||||||||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||||||
| Division Name | MIDWAY MEDICAL CLINIC LLC |
| Congressional District | 06 |
| State/Country of Incorporation | AL, USA |
| Activation Date | 2021-06-23 |
| Initial Registration Date | 2021-06-09 |
| Entity Start Date | 2018-06-01 |
| Fiscal Year End Close Date | Dec 31 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | MUHAMMAD E ATA |
| Address | 27550 STATE HWY 75 SUITE 105, ONEONTA, AL, 35121, 3204, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | MUHAMMAD E ATA |
| Address | 27550 STATE HWY 75, ONEONTA, AL, 35121, 3204, USA |
| Past Performance | Information not Available |
|---|
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386984649 | 2013-02-25 | 2019-07-18 | PO BOX 568, ONEONTA, AL, 351210007, US | 27550 STATE HIGHWAY 75 STE 105, ONEONTA, AL, 351213204, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 256-451-1250 |
Authorized person
| Name | MR. MUHAMMAD EJAZ ATA |
| Role | OWNER |
| Phone | 2565997566 |
Taxonomy
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ATA, MUHAMMAD E | Agent | 506 HARLEY STREETSCOTTSBORO, AL 35768 |
| Name | Role | Address |
|---|---|---|
| KHAN, ZAHEER A | Organizer | 3007 MEMORIAL PKWY SWHUNTSVILLE, AL 35801 |
| ATA, MUHAMMAD E | Organizer | 506 HARLEY STREETSCOTTSBORO, AL 35768 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
