Name: | Greater Montgomery Patient Centered Gastroenterology and Hepatology LLC |
Jurisdiction: | Alabama |
Legal type: | Domestic Limited Liability Company |
Status: | Exists |
Date of registration: | 29 Oct 2014 (10 years ago) |
Entity Number: | 000-321-198 |
Register Number: | 000321198 |
County: | Montgomery |
Place of Formation: | Montgomery County |
Principal Mailing Address: | 7424 Wynlakes BlvdMONTGOMERY, AL 36117 |
Principal Mailing Address ZIP Code: | 36117 |
Registered Office Street Address: | 701 TAYLOR OAKS CIRC APT 303MONTGOMERY, AL 36116 |
Registered Office Street Address ZIP Code: | 36116 |
Principal Address: | 2415 Central ParkwayMontgomery, AL 36106 |
Principal Address ZIP Code: | 36106 |
Activities
PHYSICIAN PRACTICE
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1285030080 | 2014-11-06 | 2019-07-03 | 1898 MULBERRY ST, MONTGOMERY, AL, 361061526, US | 1722 PINE ST, SUITE 801, MONTGOMERY, AL, 361061103, US | |||||||||||||||||||||||||||
|
Phone | +1 334-239-7059 |
Fax | 3342397841 |
Phone | +1 334-293-8000 |
Fax | 3345320108 |
Authorized person
Name | DR. VIPLOVE SENADHI |
Role | CEO |
Phone | 2157400034 |
Taxonomy
Taxonomy Code | 207RG0100X - Gastroenterology Physician |
Is Primary | Yes |
Taxonomy Code | 207RI0008X - Hepatology Physician |
License Number | DO.1453 |
State | AL |
Is Primary | No |
Name | Role | Address |
---|---|---|
CORPORATION SERVICE COMPANY | Organizer | 641 SOUTH LAWRENCE STREETMONTGOMERY, AL 36104 |
Name | Role | Address |
---|---|---|
SENADHI, VIPLOVE | Agent | APT 303 771 TAYLOR OAKS CIRCLEMONTGOMERY, AL 36116 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State