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Southwood Radiology, LLC

Details

Name: Southwood Radiology, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 10 Feb 2005 (20 years ago) (Companies founded in February 2005)
Date of dissolution: 16 Feb 2012
Entity Number: 000-460-326
Register Number: 000460326
Place of Formation: Houston County
Principal Address: DOTHAN, AL
Registered Office Street Address: 508 RIVEREDGE PARKWAYDOTHAN, AL 36303-9312

Activities OWNING/OPERATING DIAGNOSTIC TESTING FACILITY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1619923554 2006-05-25 2020-08-22 1891 HONEYSUCKLE RD, SUITE 3, DOTHAN, AL, 363054269, US 1891 HONEYSUCKLE RD, SUITE 3, DOTHAN, AL, 363054269, US

Contacts

Phone +1 334-699-7990
Fax 3346997992

Authorized person

Name CLAIR WOODHAM
Role OFFICE MANAGER
Phone 3346997990

Taxonomy

Taxonomy Code 2085R0202X - Diagnostic Radiology Physician
Is Primary Yes

Agent

Name Role
GHORI, SHER MOHAMMAD Agent

Member

Name Role
GHORI, SHER MOHAMMAD Member

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State