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Sand Mountain Imaging LLC

Details

Name: Sand Mountain Imaging LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 25 Feb 2005 (20 years ago) (Companies founded in February 2005)
Entity Number: 000-461-069
Register Number: 000461069
Place of Formation: Marshall County
Principal Address: BIRMINGHAM, AL
Registered Office Street Address: 1744 OXMOOR RDBIRMINGHAM, AL

Activities DELIVER HEALTHCARE SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1639122120 2006-05-18 2010-02-04 4198 US HIGHWAY 431, SUITE B, ALBERTVILLE, AL, 359500212, US 4198 US HIGHWAY 431, SUITE B, ALBERTVILLE, AL, 359500212, US

Contacts

Phone +1 256-891-1226
Fax 2568911267

Authorized person

Name MS. KRISTEN FUHRMANN
Role ADMINISTRATOR
Phone 2568911226

Taxonomy

Taxonomy Code 261QM1200X - Magnetic Resonance Imaging (MRI) Clinic/Center
Is Primary Yes

Central Index Key

CIK number Mailing Address Business Address Phone
1330418 1744 OXMOOR RD, BIRMINGHAM, AL, 35209 1744 OXMOOR RD, BIRMINGHAM, AL, 35209 225-709-3544

Filings since 2005-06-15

Form type REGDEX
File number 021-78206
Filing date 2005-06-15
File View File

Agent

Name Role Address
BLAUDEAU, FRANCOIS Agent 2224 1ST AVENUE NORTHBIRMINGHAM, AL 35203

Member

Name Role Address
BELYEU, JOHN Member No data
PETERS, MICHAEL W Member No data
RATCLIFFE, ALFRED JR Member No data
GINAS, DOUGLAS Member No data
KUCZERPA, WILLIAM Member No data
BECHERT, RICHARD Member No data
WATTS, J MICHAEL Member No data
KENDRA, JOSEPH Member No data
JOHNSON, EVAN Member 540 THRASHER DRIVEBOAZ, AL 35956
SARGEANT, TIM Member No data

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State