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BROOKWOOD DIAGNOSTIC IMAGING CENTER, LLC

Details

Name: BROOKWOOD DIAGNOSTIC IMAGING CENTER, LLC
Jurisdiction: Alabama
Legal type: Foreign Limited Liability Company
Status: Exists
Date of registration: 12 Jun 2015 (9 years ago) (Companies founded in June 2015)
Entity Number: 000-342-894
Register Number: 000342894
ZIP code: 36104 (Companies in Montgomery, 36104)
County: Montgomery
Place of Formation: Delaware
Principal Address: 1445 ROSS AVENUE STE 1400DALLAS, TX 75202
Registered Office Street Address: 2 NORTH JACKSON STREET STE 605MONTGOMERY, AL 36104

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1538520721 2016-03-15 2024-08-28 513 BROOKWOOD BLVD, SUITE 100, BIRMINGHAM, AL, 352096878, US 513 BROOKWOOD BLVD, SUITE 100, BIRMINGHAM, AL, 352096878, US

Contacts

Phone +1 469-893-2000

Authorized person

Name JAIKUMAR KRISHNASWAMY
Role OFFICER/AUTHORIZED OFFICIAL
Phone 9727133500

Taxonomy

Taxonomy Code 261QR0200X - Radiology Clinic/Center
License Number I3772
State AL
Is Primary Yes

Agent

Name Role Address
CT CORPORATION SYSTEM Agent 6190 POWERS FERRY RD STE 600ATLANTA, GA 30339

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State