| Name: | Leeds Podiatry, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 23 Jun 2014 (10 years ago) (Companies founded in June 2014) |
| Entity Number: | 000-312-587 |
| Register Number: | 000312587 |
| ZIP code: | 35094 (Companies in Jefferson, 35094) |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 1628 9TH STREET SUITE 112LEEDS, AL 35094 |
Activities
PODIATRY PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1487063731 | 2014-08-11 | 2014-08-11 | 1628 9TH ST, STE 112, LEEDS, AL, 350944140, US | 1628 9TH ST, STE 112, LEEDS, AL, 350944140, US | |||||||||||||||||||
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| Phone | +1 205-623-0169 |
| Fax | 2056230167 |
Authorized person
| Name | DR. LISA ALEXANDRA PANTHEL |
| Role | OWNER/SOLE MEMBER |
| Phone | 2056230169 |
Taxonomy
| Taxonomy Code | 213E00000X - Podiatrist |
| License Number | 302 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PANTHEL, LISA A | Organizer | 1628 9TH STREET SUITE 112LEEDS, AL 35094 |
| MACOY, MARK W | Organizer | 300 VESTAVIA PARKWAY, SUITE 2300VESTAVIA HILLS, AL 35216 |
| Name | Role | Address |
|---|---|---|
| PANTHEL, LISA A | Agent | 1628 9TH STREET SUITE 112LEEDS, AL 35094 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
