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Center for Wellness Reference Lab, LLC

Details

Name: Center for Wellness Reference Lab, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 09 Jul 2015 (9 years ago)
Date of dissolution: 29 Dec 2016
Entity Number: 000-337-992
Register Number: 000337992
County: Madison
Place of Formation: Madison County
Registered Office Street Address: 204 LOWE AVE SW SUITE 9HUNTSVILLE, AL 35801
Registered Office Street Address ZIP Code: 35801

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1487038816 2015-07-15 2015-07-15 204 LOWE AVE SE, SUITE 9, HUNTSVILLE, AL, 358014262, US 204 LOWE AVE SE, SUITE 9, HUNTSVILLE, AL, 358014262, US

Contacts

Phone +1 256-533-8787
Fax 2565338788

Authorized person

Name DR. JAMES C. NIX III
Role MANAGING PARTNER
Phone 2565338787

Taxonomy

Taxonomy Code 291U00000X - Clinical Medical Laboratory
License Number L4578
State AL
Is Primary Yes

Agent

Name Role Address
PARKER, DEBORAH Agent 204 LOWE AVE SW SUITE 9HUNTSVILLE, AL 35801

Organizer

Name Role Address
PARKER, DEBORAH Organizer 204 LOWE AVE SW SUITE 9HUNTSVILLE, AL 35801
EILAND, RUSSELL Organizer 7122 MOSSY BANK TRIALOWNES CROSSROADS, AL 35763
NIX, JAMES Organizer 204 LOWE AVE SW SUITE 9HUNTSVILLE, AL 35801

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State