| Name: | Bridgeway Diagnostic Radiology, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 12 Aug 2014 (10 years ago) (Companies founded in August 2014) |
| Entity Number: | 000-315-784 |
| Register Number: | 000315784 |
| ZIP code: | 36867 (Companies in Russell, 36867) |
| County: | Russell |
| Place of Formation: | Lee County |
| Principal Address: | 5007 SUMMERVILLE RDPHENIX CITY, AL 36867 |
| Registered Office Street Address: | 1907 W FARMVILLE RDWAVERLY, AL 36879 |
Activities
RADIOLOGY SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306248729 | 2014-09-17 | 2023-07-28 | PO BOX 242848, MONTGOMERY, AL, 361242848, US | 5007 SUMMERVILLE ROAD, PHENIX CITY, AL, 368671559, US | |||||||||||||||||||||
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| Phone | +1 334-386-9357 |
| Fax | 3345320137 |
| Phone | +1 334-408-2854 |
| Fax | 3343849274 |
Authorized person
| Name | DR. JASON HOOVER |
| Role | M.D./OWNER |
| Phone | 3344082854 |
Taxonomy
| Taxonomy Code | 2085R0202X - Diagnostic Radiology Physician |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HOOVER, JASON A | Agent | 1907 W FARMVILLE RDWAVERLY, AL 36879 |
| Name | Role | Address |
|---|---|---|
| HOOVER, JASON A | Organizer | 1907 W FARMVILLE RDWAVERLY, AL 36879 |
| Name | Role | Address |
|---|---|---|
| HOOVER, JASON A | Member | 1907 W FARMVILLE RDWAVERLY, AL 36879 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
