Name: | Apollo Urgent Care, LLC |
Jurisdiction: | Alabama |
Legal type: | Domestic Limited Liability Company |
Status: | Exists |
Date of registration: | 06 Jun 2006 (18 years ago) (Companies founded in June 2006) |
Entity Number: | 000-480-059 |
Register Number: | 000480059 |
ZIP code: | 35805 (Companies in Madison, 35805) |
County: | Madison |
Place of Formation: | Madison County |
Principal Address: | HUNTSVILLE, AL |
Registered Office Street Address: | 2400 BOB WALLACE AVE STE 101HUNTSVILLE, AL 35805 |
Activities
URGENT CARE MEDICAL CLINIC
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1801802129 | 2006-07-31 | 2020-08-22 | PO BOX 2916, HUNTSVILLE, AL, 358042916, US | 2745 BOB WALLACE AVE SW, SUITE F, HUNTSVILLE, AL, 358054158, US | |||||||||||||||||||||||||||
|
Phone | +1 256-534-1323 |
Fax | 2565341780 |
Authorized person
Name | MARY MARGARET CRESTANI |
Role | M.D./OWNER |
Phone | 2565341323 |
Taxonomy
Taxonomy Code | 207Q00000X - Family Medicine Physician |
Is Primary | Yes |
Other Provider Identifiers
Issuer | 0000 |
Number | APPLIED FOR |
State | AL |
Issuer | MEDICAID |
Number | APPLIED FOR |
State | AL |
Name | Role |
---|---|
LAMBERT, MICHAEL C | Agent |
Name | Role |
---|---|
CRESTANI, MARY MARGARET | Member |
CRESTANI, ANTHONY BENNETT | Member |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State