| Name: | Valley Vascular Access Center, L.L.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 21 Aug 2015 (9 years ago) |
| Entity Number: | 000-343-353 |
| Register Number: | 000343353 |
| County: | Madison |
| Place of Formation: | Madison County |
| Registered Office Street Address: | 201 SIVLEY ROAD SUITE 530HUNTSVILLE, AL 35801 |
| Registered Office Street Address ZIP Code: | 35801 |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| QDKKCNYXCLN1 | 2024-01-09 | 201 SIVLEY RD SW, STE 530, HUNTSVILLE, AL, 35801, 5134, USA | PO BOX 71960, HENRICO, VA, 23255, USA | |||||||||||||||||||||||||||||||||||||||||||
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| Division Name | VALLEY VASCULAR ACCESS CENTER, LLC |
| Congressional District | 05 |
| State/Country of Incorporation | AL, USA |
| Activation Date | 2023-02-03 |
| Initial Registration Date | 2023-01-09 |
| Entity Start Date | 2015-08-26 |
| Fiscal Year End Close Date | Dec 31 |
Service Classifications
| NAICS Codes | 621111 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | BILLIE COOK |
| Role | REVENUE CYCLE MANAGER |
| Address | PO BOX 71960, HENRICO, VA, 23255, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | BILLIE COOK |
| Role | REVENUE CYCLE MANAGER |
| Address | PO BOX 71960, HENRICO, VA, 23255, USA |
| Past Performance | Information not Available |
|---|
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659905610 | 2020-02-28 | 2022-05-19 | 8730 STONY POINT PKWY STE 175, RICHMOND, VA, 232351952, US | 4700 WHITESBURG DR SW STE 300, HUNTSVILLE, AL, 358021685, US | |||||||||||||
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| Phone | +1 804-655-6150 |
Authorized person
| Name | DOMENICK RONGA |
| Role | ADMINISTRATOR |
| Phone | 8046556150 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| KNOTT, ANDREW W | Agent |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
