| Name: | Nephrology Vascular Lab of Central Alabama ASC, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Limited Liability Company |
| Status: | Exists |
| Date of registration: | 08 Feb 2017 (8 years ago) (Companies founded in February 2017) |
| Entity Number: | 000-406-498 |
| Register Number: | 000406498 |
| ZIP code: | 35211 (Companies in Jefferson, 35211) |
| County: | Jefferson |
| Place of Formation: | Delaware |
| Registered Office Street Address: | 2 North Jackson Street, Suite 605Montgomery, AL 36104 |
| Principal Address: | 817 Princeton Avenue SWBirmingham, AL 35211 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508360181 | 2018-03-20 | 2023-04-21 | PO BOX 412142, BOSTON, MA, 022412142, US | 1280 COLUMBIANA RD STE 120, VESTAVIA HILLS, AL, 352161642, US | |||||||||||||||||
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| Phone | +1 610-644-8900 |
| Fax | 4849240053 |
| Phone | +1 205-916-5201 |
Authorized person
| Name | MR. JEFFREY GLAZE |
| Role | AUTHORIZED OFFICIAL |
| Phone | 6106448900 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| C T Corporation System | Agent |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
