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orthofast, LLC

Details

Name: orthofast, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 19 Dec 2017 (7 years ago)
Entity Number: 000-450-773
Register Number: 000450773
Place of Formation: Mobile County

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1346755881 2017-12-06 2019-08-21 1286 OAK GROVE RD STE 100, BIRMINGHAM, AL, 352096955, US 104 CHELSEA POINT DR, CHELSEA, AL, 350434100, US

Contacts

Phone +1 205-453-7550
Fax 2057198889

Authorized person

Name MATTHEW LEMAK
Role CEO
Phone 2053297501

Taxonomy

Taxonomy Code 207X00000X - Orthopaedic Surgery Physician
Is Primary No
Taxonomy Code 207XX0005X - Sports Medicine (Orthopaedic Surgery) Physician
Is Primary No
Taxonomy Code 261QU0200X - Urgent Care Clinic/Center
Is Primary Yes

Agent

Name Role
SEARCHTEC Agent

Organizer

Name Role Address
GORDON, BRUCE L Organizer 600 UNIVERSITY PARK PLACE, SUITE 100BIRMINGHAM, AL 35209

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State