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ANI, L.L.C.

Details

Name: ANI, L.L.C.
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 26 Jan 2005 (20 years ago) (Companies founded in January 2005)
Entity Number: 000-459-700
Register Number: 000459700
ZIP code: 35209 (Companies in Jefferson, 35209)
County: Jefferson
Place of Formation: Jefferson County
Principal Address: BIRMINGHAM, AL
Registered Office Street Address: 513 BROOKWOOD BLVD STE 405BIRMINGHAM, AL 35209

Activities MEDICAL PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1801092028 2007-06-25 2007-10-26 509 BROOKWOOD BLVD, BIRMINGHAM, AL, 352096801, US 509 BROOKWOOD BLVD, BIRMINGHAM, AL, 352096801, US

Contacts

Phone +1 205-414-9850
Fax 2054149855

Authorized person

Name CAMILO R GOMEZ
Role MEDICAL PROVIDER
Phone 2058748787

Taxonomy

Taxonomy Code 2085R0202X - Diagnostic Radiology Physician
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 529927640
State AL

Member

Name Role
GOMEZ, CAMILO R Member

Agent

Name Role
GONZALEZ, FELIPE Agent

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State