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Southeastern Diagnostics, LLC

Details

Name: Southeastern Diagnostics, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 15 Jan 2016 (9 years ago)
Entity Number: 000-356-764
Register Number: 000356764
County: Shelby
Place of Formation: Shelby County
Registered Office Street Address: 109 FOOTHILLS PARKWAY SUITE 113CHELSEA, AL 35043
Registered Office Street Address ZIP Code: 35043

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1689036477 2016-03-22 2016-03-22 109 FOOTHILLS PKWY, SUITE 113, CHELSEA, AL, 350438235, US 86261 HIGHWAY 9, ASHLAND, AL, 362517823, US

Contacts

Phone +1 205-619-5255
Fax 2056189706
Phone +1 205-613-5255

Authorized person

Name MR. WILLIAM CARL WAINSCOTT II
Role CFO
Phone 2056135255

Taxonomy

Taxonomy Code 208D00000X - General Practice Physician
Is Primary Yes
Taxonomy Code 246XS1301X - Sonography Specialist/Technologist
Is Primary No

Agent

Name Role Address
WAINSCOTT, WILLIAM Agent 1810 3RD AVENUE SOUTHBIRMINGHAM, AL 35208

Organizer

Name Role Address
WAINSCOTT, WILLIAM Organizer 1810 3RD AVENUE SOUTHBIRMINGHAM, AL 35208

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State