| Name: | Premier Medical Housecall, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 30 Jun 2017 (7 years ago) |
| Entity Number: | 000-395-821 |
| Register Number: | 000395821 |
| County: | Montgomery |
| Place of Formation: | Shelby County |
| Principal Address: | 400 Interstate North Parkway SEAtlanta, GA 30339 |
| Registered Office Street Address: | 641 SOUTH LAWRENCE STREETMONTGOMERY, AL 36104 |
| Registered Office Street Address ZIP Code: | 36104 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1487170031 | 2017-08-16 | 2022-09-06 | 400 INTERSTATE NORTH PKWY SE STE 1600, ATLANTA, GA, 303395047, US | 165 CAHABA VALLEY PKWY, PELHAM, AL, 351241144, US | |||||||||||||||||
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| Phone | +1 470-464-8000 |
| Phone | +1 205-470-6934 |
Authorized person
| Name | DAVID AFSHAR |
| Role | CFO |
| Phone | 4704648000 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CORPORATION SERVICE COMPANY INC | Agent | 251 LITTLE FALLS DRIVEWILMINGTON, DE 19808 |
| Name | Role | Address |
|---|---|---|
| AVERITT, AUSTIN A | Organizer | 1 FED PL STE 1000, 1819 5TH AVE NBIRMINGHAM, AL 35203 |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
