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Blossomwood Research LLC

Details

Name: Blossomwood Research LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 11 Mar 2014 (11 years ago)
Date of dissolution: 01 Dec 2020
Entity Number: 000-299-001
Register Number: 000299001
County: Madison
Place of Formation: Madison County
Principal Address: 1508 BIG COVE RD SEHUNTSVILLE, AL 35801
Principal Address ZIP Code: 35801

Activities HEALTH CARE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1669994331 2017-07-13 2022-07-21 2121 WHITESBURG DR SE STE D, HUNTSVILLE, AL, 358014501, US 2121 WHITESBURG DR SE STE D, HUNTSVILLE, AL, 358014501, US

Contacts

Phone +1 256-883-0107
Fax 2568830207

Authorized person

Name MRS. DZENE JUCEVICIUTE
Role PRESIDENT
Phone 2564319254

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes

Agent

Name Role Address
JUCEVICIUTE, DZENE Agent 1508 BIG COVE ROADHUNTSVILLE, AL 35801

Member

Name Role Address
JUCEVICIUTE, DZENE Member 1508 BIG COVE ROADHUNTSVILLE, AL 35801

Organizer

Name Role Address
LEGALZOOM.COM INC Organizer 101 N BRAND BLVD 10TH FLOORGLENDALE, CA 91203

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State