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Alabama Cancer Care, LLC

Details

Name: Alabama Cancer Care, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 29 Apr 2010 (15 years ago)
Entity Number: 000-446-581
Register Number: 000446581
County: Tuscaloosa
Place of Formation: Etowah County
Registered Office Street Address: 1400 AFFLINK PLACE SUITE 101TUSCALOOSA, AL 35406
Registered Office Street Address ZIP Code: 35406
Principal Address: GADSDEN, AL

Activities PHYSICIAN'S OFFICE/CLINIC

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1447579644 2010-05-27 2024-05-28 509 ENERGY CENTER BLVD STE 804, NORTHPORT, AL, 354732798, US 402 SOUTH 1ST STREET, GADSDEN, AL, 359015202, US

Contacts

Phone +1 205-345-7892
Phone +1 256-547-0536
Fax 2565478703

Authorized person

Name ASHVINI SENGAR
Role PRESIDENT
Phone 2565470536

Taxonomy

Taxonomy Code 207RH0003X - Hematology & Oncology Physician
License Number MD.30196
State AL
Is Primary Yes
Taxonomy Code 261QR0200X - Radiology Clinic/Center
Is Primary No

Agent

Name Role
STEVE MITCHELL Agent

Member

Name Role
SENGAR, ASHVINI Member

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State