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Elite Imaging, LLC

Details

Name: Elite Imaging, LLC
Jurisdiction: Alabama
Legal type: Domestic Series Limited Liability Company
Status: Exists
Date of registration: 07 Apr 2016 (9 years ago) (Companies founded in April 2016)
Entity Number: 000-359-377
Register Number: 000359377
ZIP code: 35242 (Companies in Shelby, 35242)
County: Shelby
Place of Formation: Jefferson County
Registered Office Street Address: 200 CAHABA PARK CIRCLE SUITE 225BIRMINGHAM, AL 35242

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1316481294 2016-12-12 2016-12-12 200 CAHABA PARK CIRCLE, SUITE 215, BIRMINGHAM, AL, 35242, US 200 CAHABA PARK CIRCLE, SUITE 215, BIRMINGHAM, AL, 35242, US

Contacts

Phone +1 205-991-1830

Authorized person

Name DR. PHILLIP TRIANTOS
Role PRESIDENT
Phone 2059911830

Taxonomy

Taxonomy Code 174400000X - Specialist
License Number AL15968
State AL
Is Primary Yes

Agent

Name Role
ALEX JOHNSON Agent

Organizer

Name Role Address
BROM, STEVEN M Organizer 4908 CAHABA RIVER ROAD SUITE 100BIRMINGHAM, AL 35243

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State