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Shoals Pathology Services, LLC

Details

Name: Shoals Pathology Services, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 09 Jul 2009 (15 years ago) (Companies founded in July 2009)
Entity Number: 000-435-694
Register Number: 000435694
ZIP code: 35674 (Companies in Colbert, 35674)
County: Colbert
Place of Formation: Lauderdale County
Registered Office Street Address: 6655 HAWK PRIDE MOUNTAIN ROADTUSCUMBIA, AL 35674

Activities MEDICAL PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1750607701 2010-04-15 2024-06-19 PO BOX 51434, PIEDMONT, SC, 296732050, US 1300 S MONTGOMERY AVE, SHEFFIELD, AL, 356606334, US

Contacts

Phone +1 256-386-4505
Fax 2563864502

Authorized person

Name ADAM STREBECK
Role OWNER/PHYSICIAN
Phone 2563864505

Taxonomy

Taxonomy Code 207ZP0102X - Anatomic Pathology & Clinical Pathology Physician
Is Primary Yes

Member

Name Role
KIM, JOSEPH M Member
STREBECK, DIANELA O DO Member
STREBECK, ADAM L MD Member

Organizer

Name Role Address
SMITH, CHARLES C Organizer 2660 EASTCHASE LANE STE #300MONTGOMERY, AL 36117

Agent

Name Role
STREBECK, ADAM L Agent

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State