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Eastside Family Care LLC

Details

Name: Eastside Family Care LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 10 Mar 2014 (11 years ago)
Entity Number: 000-298-647
Register Number: 000298647
Historical Names: Eastside Fast Care LLC
Eastside Urgent Care LLC
County: Montgomery
Place of Formation: Montgomery County
Principal Address: 14 MITYLENE PARK LANEMONTGOMERY, AL 36117
Principal Address ZIP Code: 36117

Activities PROVIDE HEALTH CARE AND ALLIED SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1689091548 2014-03-27 2018-08-08 14 MITYLENE PARK LN, MONTGOMERY, AL, 361177306, US 14 MITYLENE PARK LN, MONTGOMERY, AL, 36117, US

Contacts

Phone +1 334-213-4433
Phone +1 334-524-3266

Authorized person

Name DR. SAI S NAMBURU
Role PARTNER
Phone 3345243266

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes
Taxonomy Code 261QU0200X - Urgent Care Clinic/Center
Is Primary No

Member

Name Role Address
VADLAMUDI, EASWARACHANDR V Member 14 MITYLENE PARK LANEMONTGOMERY, AL 36117

Organizer

Name Role Address
NAMBURU, SAI S Organizer 9540 WYNLAKES PLACEMONTGOMERY, AL 36117
VADLAMUDI, EASWARACHANDRA V Organizer 9540 WYNLAKES PLACEMONTGOMERY, AL 36117
AN, THANG Q Organizer 9540 WYNLAKES PLACEMONTGOMERY, AL 36117

Events

Event Date Event Type Old Value New Value
2018-06-18 Name Change Eastside Urgent Care LLC Eastside Family Care LLC
2014-09-24 Name Change Eastside Fast Care LLC Eastside Urgent Care LLC

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State