| Name: | DPI of Alabama, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 12 Dec 2017 (7 years ago) (Companies founded in December 2017) |
| Entity Number: | 000-447-764 |
| Register Number: | 000447764 |
| ZIP code: | 35004 (Companies in Saint Clair, 35004) |
| County: | Saint Clair |
| Place of Formation: | Saint Clair County |
| Registered Office Street Address: | 3310 KELLY CREEK RDMOODY, AL 35004 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1548757420 | 2018-04-17 | 2023-02-02 | PO BOX 14447, BATON ROUGE, LA, 708984447, US | 3310 KELLY CREEK RD, MOODY, AL, 35004, US | |||||||||||||||||||||||
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| Phone | +1 225-923-0030 |
| Fax | 2259230060 |
Authorized person
| Name | JOHN SIKES |
| Role | CEO |
| Phone | 2259230030 |
Taxonomy
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| Is Primary | Yes |
| Taxonomy Code | 208VP0014X - Interventional Pain Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 367500000X - Certified Registered Nurse Anesthetist |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| HORNSBY, LARRY | Agent | 3310 KELLY CREEK ROADMOODY, AL 35004 |
| Name | Role | Address |
|---|---|---|
| VAUGHN, DAVID | Organizer | 9191 SIEGEN LANE, BLDG 8BATON ROUGE, LA 70810 |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
