| Name: | Eastside P.E.T. Center, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 29 Sep 2005 (19 years ago) |
| Entity Number: | 000-469-589 |
| Register Number: | 000469589 |
| County: | Walker |
| Place of Formation: | Walker County |
| Registered Office Street Address: | 406 MEDICAL CENTER DRIVEJASPER, AL 35501 |
| Registered Office Street Address ZIP Code: | 35501 |
| Principal Address: | JASPER, AL |
Activities
OPERATION OF POSITRON EMISSION TOMOGRAPHY MACHINE (PET)
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649855545 | 2021-03-11 | 2021-09-23 | 406 MEDICAL CENTER DR, JASPER, AL, 355013400, US | 7191 CAHABA VALLEY RD STE 203, HOOVER, AL, 352426448, US | |||||||||||||||
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| Phone | +1 205-221-8200 |
| Fax | 2052218308 |
Authorized person
| Name | LISA J WELLS |
| Role | VP CORPORATE COMPLIANCE |
| Phone | 2052218258 |
Taxonomy
| Taxonomy Code | 261QS1200X - Sleep Disorder Diagnostic Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| PACE, STEWART H | Agent |
| Name | Role | Address |
|---|---|---|
| EASTSIDE VENTURES INC | Member | No data |
| MED-SOUTH INC | Member | 406 MEDICAL CENTER DRIVEJASPER, AL 35501 |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
