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Five Star Diagnostics LLC

Details

Name: Five Star Diagnostics LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 07 Jun 2017 (7 years ago) (Companies founded in June 2017)
Entity Number: 000-393-878
Register Number: 000393878
ZIP code: 35114 (Companies in Shelby, 35114)
County: Shelby
Place of Formation: Shelby County
Registered Office Street Address: 1028 GRANDE VIEW PASSMAYLENE, AL 35114

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
T1EKLNKUDY84 2024-10-08 1 CHASE CORPORATE DR, STE 400, HOOVER, AL, 35244, 7001, USA 201 CAHABA VALLEY PARKWAY, SUITE 7, PELHAM, AL, 35124, USA

Business Information

Congressional District 06
State/Country of Incorporation AL, USA
Activation Date 2023-10-10
Initial Registration Date 2023-10-09
Entity Start Date 2017-04-06
Fiscal Year End Close Date Dec 31

Points of Contacts

Electronic Business
Title PRIMARY POC
Name CEDRIC SHANNON
Address 201 CAHABA VALEY PARKWAY, PELHAM, AL, 35124, USA
Government Business
Title PRIMARY POC
Name CEDRIC SHANNON
Role PRESIDENT
Address 201 CAHABA VALLEY PARKWAY, PELHAM, AL, 35124, USA
Past Performance Information not Available

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1558894576 2017-04-06 2020-02-27 1028 GRANDE VIEW PASS, MAYLENE, AL, 351144004, US 1028 GRANDE VIEW PASS, MAYLENE, AL, 351144004, US

Contacts

Phone +1 205-478-1200

Authorized person

Name CEDRIC SHANNON
Role OWNER/CEO
Phone 2054781200

Taxonomy

Taxonomy Code 207RE0101X - Endocrinology, Diabetes & Metabolism Physician
Is Primary Yes
Taxonomy Code 252Y00000X - Early Intervention Provider Agency
Is Primary No

Agent

Name Role Address
SHANNON, CEDRIC Agent 1 CHASE CORPORATE DR STE 400HOOVER, AL 35244

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State