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Central Alabama Audiology, LLC

Details

Name: Central Alabama Audiology, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 11 Apr 2014 (11 years ago)
Entity Number: 000-307-384
Register Number: 000307384
County: Dallas
Place of Formation: Dallas County
Registered Office Street Address: 4 OFFICE PARK CIRCLESELMA, AL 36701
Registered Office Street Address ZIP Code: 36701

Activities RENDER PROFESSIONAL AUDIOLOGY SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1689084881 2014-04-28 2024-03-12 203 DALLAS AVE, SELMA, AL, 367015744, US 4 OFFICE PARK CIR, SELMA, AL, 367016538, US

Contacts

Phone +1 334-872-9711
Fax 3345264111
Fax 3348727574

Authorized person

Name DR. BRADY BOSTICK RIVES
Role AUDIOLOGITS/OWNER
Phone 3348729711

Taxonomy

Taxonomy Code 231H00000X - Audiologist
License Number 1127A
State AL
Is Primary Yes

Organizer

Name Role Address
RIVES, BRADY BOSTICK Organizer 4 OFFICE PARK CIRCLESELMA, AL 36701

Agent

Name Role
RIVES, BRADY B Agent

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State