| Name: | Rife Huckabee, M.D., LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 26 Jun 2013 (11 years ago) |
| Entity Number: | 000-281-938 |
| Register Number: | 000281938 |
| Historical Names: |
Suburban Radiology LLC
|
| County: | Mobile |
| Place of Formation: | Jefferson County |
| Principal Address: | 5001 RIVER TRCETHEODORE, AL 36582 |
| Principal Address ZIP Code: | 36582 |
| Registered Office Street Address: | 5001 RIVER TRACETHEODORE, AL 36582 |
| Registered Office Street Address ZIP Code: | 36582 |
| Registered Office Mailing Address: | 100 OXMOORE ROAD SUITE 110BIRMINGHAM, AL 35209 |
| Registered Office Mailing Address ZIP Code: | 35209 |
Activities
HEALTH CARE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982034203 | 2013-11-22 | 2013-11-22 | 6576 AIRPORT BLVD, BLDG. A, MOBILE, AL, 366086768, US | 6576 AIRPORT BLVD, BLDG. A, MOBILE, AL, 366086768, US | |||||||||||||||||
|
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| Phone | +1 334-386-5315 |
Authorized person
| Name | DR. RIFE E HUCKABEE |
| Role | OWNER |
| Phone | 3343865315 |
Taxonomy
| Taxonomy Code | 2085R0202X - Diagnostic Radiology Physician |
| License Number | MD.15233 |
| State | AL |
| Is Primary | Yes |
| CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 6X6W0 | Active | Non-Manufacturer | 2013-06-25 | 2014-06-21 | No data | No data | |||||||||||||||
|
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| POC | RIFE E. HUCKABEE |
| Phone | +1 251-545-7060 |
| Fax | +1 251-443-5697 |
| Address | 5001 RIVER TRCE, THEODORE, MOBILE, AL, 36582 2527, UNITED STATES |
Ownership of Offeror Information
| Highest Level Owner | Information not Available |
|---|
| Immediate Level Owner | Information not Available |
|---|
| List of Offerors (0) | Information not Available |
|---|
| Name | Role |
|---|---|
| HUCKABEE, RIFE E | Agent |
| Name | Role | Address |
|---|---|---|
| LEGALZOOM.COM INC | Organizer | 101 N BRAND BLVD 10TH FLOORGLENDALE, CA 91203 |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2016-09-26 | Name Change | Suburban Radiology LLC | Rife Huckabee, M.D., LLC |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
