Name: | Heart Institute of Andalusia, LLC |
Jurisdiction: | Alabama |
Legal type: | Domestic Limited Liability Company |
Status: | Exists |
Date of registration: | 16 May 2014 (10 years ago) |
Entity Number: | 000-309-833 |
Register Number: | 000309833 |
County: | Covington |
Place of Formation: | Covington County |
Registered Office Street Address: | 5 EAST COURT SQUAREANDALUSIA, AL 36420 |
Registered Office Street Address ZIP Code: | 36420 |
Activities
MEDICAL OFFICE PRACTICE
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1780096263 | 2014-06-02 | 2014-06-02 | 215 MEDICAL PARK DR, SUITE 1, ANDALUSIA, AL, 364205354, US | 215 MEDICAL PARK DR, SUITE 1, ANDALUSIA, AL, 364205354, US | |||||||||||||||||||
|
Phone | +1 334-222-4327 |
Fax | 3342224333 |
Authorized person
Name | GREGORY D PRICE |
Role | MD, OWNER |
Phone | 3342224327 |
Taxonomy
Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
Is Primary | Yes |
Taxonomy Code | 207UN0901X - Nuclear Cardiology Physician |
Is Primary | No |
Name | Role |
---|---|
MURPHY, J M | Agent |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State