| Name: | Gardendale Pain and Wellness, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 13 Nov 2017 (7 years ago) (Companies founded in November 2017) |
| Entity Number: | 000-408-601 |
| Register Number: | 000408601 |
| ZIP code: | 35125 (Companies in Saint Clair, 35125) |
| County: | Saint Clair |
| Place of Formation: | Saint Clair County |
| Registered Office Street Address: | 613 MARTIN STREET NORTH SUITE 300PELL CITY, AL 35125 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316459746 | 2017-10-25 | 2020-09-15 | 2215 DECATUR HWY STE 101, GARDENDALE, AL, 350712384, US | 2215 DECATUR HWY STE 101, GARDENDALE, AL, 350712384, US | |||||||||||||||||||
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| Phone | +1 205-608-8199 |
| Fax | 2056088195 |
Authorized person
| Name | RICKY B TUBBS |
| Role | OWNER |
| Phone | 2566490416 |
Taxonomy
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| License Number | DO |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BLOOMSTON, JOEL | Agent | 613 MARTIN STREET NORTH SUITE 300PELL CITY, AL 35125 |
| Name | Role | Address |
|---|---|---|
| BLOOMSTON, JOEL | Organizer | 613 MARTIN STREET NORTH SUITE 300PELL CITY, AL 35125 |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
