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