| Name: | Open MRI of Scottsboro, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 26 Aug 2005 (19 years ago) (Companies founded in August 2005) |
| Entity Number: | 000-468-083 |
| Register Number: | 000468083 |
| ZIP code: | 35769 (Companies in Jackson, 35769) |
| County: | Jackson |
| Place of Formation: | Jackson County |
| Principal Address: | SCOTTSBORO, AL |
| Registered Office Street Address: | 579 WINN RDSCOTTSBORO, AL 35769 |
Activities
OUTPATIENT IMAGING SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1740233303 | 2006-05-17 | 2022-07-25 | PO BOX 242848, MONTGOMERY, AL, 361242848, US | 305 PARKS AVE, SCOTTSBORO, AL, 357682411, US | |||||||||||||||||||||
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| Phone | +1 334-270-9914 |
| Phone | +1 256-574-6674 |
Authorized person
| Name | DR. JOHN LANDON REICHLE |
| Role | MD |
| Phone | 2565746674 |
Taxonomy
| Taxonomy Code | 2085R0202X - Diagnostic Radiology Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 051557668 |
| State | AL |
| CIK number | Mailing Address | Business Address | Phone | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1355745 | 510 HARLEY ST, SCOTTSBORO, AL, 35768 | 510 HARLEY ST, SCOTTSBORO, AL, 35768 | 256-259-2323 | |||||||||
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| Form type | REGDEX |
| File number | 021-87011 |
| Filing date | 2006-02-28 |
| File | View File |
| Name | Role |
|---|---|
| REICHLE, JOHN L | Agent |
| Name | Role | Address |
|---|---|---|
| REICHLE, JOHN L | Member | No data |
| WALKER, FREIDA R | Member | No data |
| JACKSON COUNTY HEALTH CARE AUTHORITY | Member | 509 BURLINGTON STREETSCOTTSBORO, AL 35768 |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
