| Name: | Summit Sleep Disorders Center, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 07 Sep 2005 (19 years ago) |
| Entity Number: | 000-468-732 |
| Register Number: | 000468732 |
| County: | Walker |
| Place of Formation: | Walker County |
| Principal Address: | JASPER, AL |
| Registered Office Street Address: | 1280 SUMMIT DRJASPER, AL 35501 |
| Registered Office Street Address ZIP Code: | 35501 |
Activities
REAL/PERSONAL PROPERTY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932146586 | 2006-06-01 | 2010-07-13 | 1280 SUMMIT DR., JASPER, AL, 355010102, US | 1350 SUMMIT DR., JASPER, AL, 355010104, US | |||||||||||||||||||||
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| Phone | +1 205-387-7900 |
| Fax | 2053849006 |
| Fax | 2053877950 |
Authorized person
| Name | DR. JAN H. WESTERMAN |
| Role | MEDICAL DIRECTOR |
| Phone | 2053877900 |
Taxonomy
| Taxonomy Code | 261QS1200X - Sleep Disorder Diagnostic Clinic/Center |
| License Number | 12828 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| WESTERMAN, JAN H | Agent |
| Name | Role | Address |
|---|---|---|
| WESTERMAN, JAN H | Member | No data |
| SMITH, MARK | Member | 1921 LAURA DRDEMOPOLIS, AL 36732 |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
