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