| Name: | Premier Medical Clinic, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 08 Mar 2013 (12 years ago) |
| Entity Number: | 000-275-229 |
| Register Number: | 000275229 |
| County: | Jackson |
| Place of Formation: | Jackson County |
| Principal Mailing Address: | 6110 COUNTY RD 88PISGAH, AL 35765 |
| Principal Mailing Address ZIP Code: | 35765 |
| Principal Address: | 503 BURLINGTON STSCOTTSBORO, AL 35768 |
| Principal Address ZIP Code: | 35768 |
| Registered Office Street Address: | 503 BURLINGTON STSCOTTSBORO, AL 35765 |
| Registered Office Street Address ZIP Code: | 35765 |
Activities
HEALTH CARE DELIVERY
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PGD1X7N844F3 | 2022-07-17 | 506 HARLEY ST STE A, SCOTTSBORO, AL, 35768, 4219, USA | 506 HARLEY ST STE A, SCOTTSBORO, AL, 35768, 4219, USA | |||||||||||||||||||||||||||||||||||||||
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| Division Name | PREMIER MEDICAL CLINIC, LLC |
| Division Number | PREMIER ME |
| Congressional District | 05 |
| State/Country of Incorporation | AL, USA |
| Activation Date | 2021-06-23 |
| Initial Registration Date | 2021-06-17 |
| Entity Start Date | 2013-03-08 |
| Fiscal Year End Close Date | Dec 31 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | MUHAMMAD ATA |
| Address | 506 HARLEY ST STE A, SCOTTSBORO, AL, 35768, 4219, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | MUHAMMAD ATA |
| Address | 506 HARLEY ST STE A, SCOTTSBORO, AL, 35768, 4219, USA |
| Past Performance | Information not Available |
|---|
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1083955173 | 2013-03-14 | 2013-03-14 | PO BOX 56, SCOTTSBORO, AL, 35768, US | 503 BURLINGTON STREET, SCOTTSBORO, AL, 35768, US | |||||||||||||||
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| Phone | +1 256-259-1886 |
Authorized person
| Name | MR. MUHAMMAD ATA |
| Role | OWNER |
| Phone | 2564511250 |
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 |
|---|---|---|
| ATA, MUHAMMAD E | Organizer | 506 HARLEY STREETSCOTTSBORO, AL 35768 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
