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Marshall Imaging Center LLC

Details

Name: Marshall Imaging Center LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 13 Oct 2004 (20 years ago) (Companies founded in October 2004)
Date of dissolution: 14 Jan 2011
Entity Number: 000-456-194
Register Number: 000456194
ZIP code: 35976 (Companies in Marshall, 35976)
County: Marshall
Place of Formation: Marshall County
Principal Address: GUNTERSVILLE, AL
Registered Office Street Address: 227 BRITTANY RDGUNTERSVILLE, AL 35976

Activities OWN/OPERATE IMAGING DIAGNOSTIC CENTERS IN NORTHERN ALABAMA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1760577878 2006-10-04 2008-07-11 PO BOX 11407, BIRMINGHAM, AL, 352461258, US 11491 US HIGHWAY 431, ALBERTVILLE, AL, 359500136, US

Contacts

Phone +1 205-871-4274
Fax 2058714301
Phone +1 256-894-6950

Authorized person

Name KYLENE GOODWIN
Role CREDENTIALING MANAGER
Phone 2058686209

Taxonomy

Taxonomy Code 261QM1200X - Magnetic Resonance Imaging (MRI) Clinic/Center
Is Primary Yes
Taxonomy Code 261QR0200X - Radiology Clinic/Center
Is Primary No

Central Index Key

CIK number Mailing Address Business Address Phone
1329907 227 BRITTANY RD, GUNTERSVILLE, AL, 35976 227 BRITTANY RD, GUNTERSVILLE, AL, 35976 256-894-6615

Filings since 2005-06-02

Form type REGDEX
File number 021-81317
Filing date 2005-06-02
File View File

Agent

Name Role
NELSON, KATHY B Agent

Member

Name Role
THE MARSHALL CO HEALTHCARE AUTHORITY Member

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State