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Carrington Medical Spa LLC

Details

Name: Carrington Medical Spa LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 29 Jun 2017 (7 years ago)
Date of dissolution: 07 Sep 2021
Entity Number: 000-395-257
Register Number: 000395257
County: Jefferson
Place of Formation: Jefferson County
Registered Office Street Address: 8439 SCOTT DRIVETRUSSVILLE, AL 35173
Registered Office Street Address ZIP Code: 35173

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1740747153 2019-02-22 2019-06-11 8178 GADSDEN HWY STE 112, TRUSSVILLE, AL, 351735267, US 8178 GADSDEN HWY STE 112, TRUSSVILLE, AL, 351735267, US

Contacts

Phone +1 205-508-5723
Fax 2055085724

Authorized person

Name DR. LILIYA SLUTSKER
Role PRESIDENT
Phone 2055085723

Taxonomy

Taxonomy Code 2080B0002X - Pediatric Obesity Medicine Physician
Is Primary Yes

Other Provider Identifiers

Issuer PENDING
Number 34099
State AL

Agent

Name Role
SLUTSKER, LILIYA Agent

Organizer

Name Role
SLUTSKER, LILIYA Organizer

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State