| Name: | ANI, L.L.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 26 Jan 2005 (20 years ago) |
| Entity Number: | 000-459-700 |
| Register Number: | 000459700 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Principal Address: | BIRMINGHAM, AL |
| Registered Office Street Address: | 513 BROOKWOOD BLVD STE 405BIRMINGHAM, AL 35209 |
| Registered Office Street Address ZIP Code: | 35209 |
Activities
MEDICAL PRACTICE
| 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 | |||||||||||||||||||||
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| 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 |
| Name | Role |
|---|---|
| GOMEZ, CAMILO R | Member |
| Name | Role |
|---|---|
| GONZALEZ, FELIPE | Agent |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
