| Name: | Fairhope Vein Treatment Center, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 27 Jun 2013 (11 years ago) |
| Date of dissolution: | 07 Jul 2020 |
| Entity Number: | 000-281-977 |
| Register Number: | 000281977 |
| County: | Dale |
| Place of Formation: | Houston County |
| Registered Office Street Address: | 2186 WINDMILL ROADNEWTON, AL 36352 |
| Registered Office Street Address ZIP Code: | 36352 |
Activities
MEDICAL & SURGICAL TREATMENT OF VENOUS DISEASES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205251618 | 2014-02-20 | 2014-02-20 | 341 GREENO RD N, FAIRHOPE, AL, 365322979, US | 341 GREENO RD N, FAIRHOPE, AL, 365322979, US | |||||||||||||||||
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| Phone | +1 334-618-2237 |
Authorized person
| Name | DR. RODNEY ALLEN SIRK |
| Role | OWNER |
| Phone | 3346182237 |
Taxonomy
| Taxonomy Code | 202K00000X - Phlebology Physician |
| License Number | 30273 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| SIRK, RODNEY A | Agent |
| Name | Role | Address |
|---|---|---|
| SIRK, RODNEY A | Organizer | No data |
| BAXLEY, M HAMPTON | Organizer | 212 WEST TROY STREETDOTHAN, AL 36303 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
