| Name: | Limestone Pulmonary and Sleep Associates P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 20 Apr 2015 (10 years ago) |
| Entity Number: | 000-334-451 |
| Register Number: | 000334451 |
| County: | Limestone |
| Place of Formation: | Limestone County |
| Principal Address: | 101 FITNESS WAY SUITE 2500ATHENS, AL 35611 |
| Principal Address ZIP Code: | 35611 |
| Authorized Capital: | 20 |
Activities
MEDICAL PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1497142509 | 2015-04-16 | 2015-04-16 | 101 CONSHOHOCKEN STATE RD APT B1, BALA CYNWYD, PA, 190042342, US | 101 FITNESS WAY STE 2500, ATHENS, AL, 356112484, US | |||||||||||||||||||||
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| Phone | +1 626-376-2438 |
Authorized person
| Name | KIRAN CHALLAGOLLA |
| Role | OFFICE MANAGER |
| Phone | 6263762438 |
Taxonomy
| Taxonomy Code | 207RC0200X - Critical Care Medicine (Internal Medicine) Physician |
| Is Primary | No |
| Taxonomy Code | 207RP1001X - Pulmonary Disease Physician |
| Is Primary | Yes |
| Taxonomy Code | 207RS0012X - Sleep Medicine (Internal Medicine) Physician |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| CHALLAGOLLA, KIRAN | Agent | 101 FITNESS WAY SUITE 2500ATHENS, AL 35611 |
| Name | Role | Address |
|---|---|---|
| TARIGOPULA, RAVALI | Director | 101 FITNESS WAY SUITE 2500ATHENS, AL 35611 |
| CHALLAGOLLA, KIRAN | Director | 101 FITNESS WAY SUITE 2500ATHENS, AL 35611 |
| Name | Role | Address |
|---|---|---|
| CHALLAGOLLA, KIRAN | Incorporator | 101 FITNESS WAY SUITE 2500ATHENS, AL 35611 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
