| Name: | Walker Medical Diagnostics, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 23 Jun 2006 (18 years ago) |
| Entity Number: | 000-480-767 |
| Register Number: | 000480767 |
| County: | Walker |
| Place of Formation: | Walker County |
| Registered Office Street Address: | 701 19TH ST EASTJASPER, AL 35501 |
| Registered Office Street Address ZIP Code: | 35501 |
Activities
MEDICAL PRACTICE
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HVCGK1X2H3F7 | 2024-10-17 | 1450 JONES DAIRY RD STE 600, JASPER, AL, 35501, 6109, USA | 1450 JONES DAIRY RD STE 600, JASPER, AL, 35501, 6109, USA | |||||||||||||||||||||||||||||||||||||||||||||||||
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| Congressional District | 04 |
| State/Country of Incorporation | AL, USA |
| Activation Date | 2023-11-03 |
| Initial Registration Date | 2010-05-17 |
| Entity Start Date | 2006-06-22 |
| Fiscal Year End Close Date | Dec 31 |
Service Classifications
| NAICS Codes | 621512 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | LEE STEPHENS |
| Role | MRS. |
| Address | 1450 JONES DAIRY RD STE 600, JASPER, AL, 35501, 6109, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | LEE STEPHENS |
| Role | MRS. |
| Address | 1450 JONES DAIRY RD STE 600, JASPER, AL, 35501, 6109, USA |
| Past Performance | |
|---|---|
| Title | PRIMARY POC |
| Name | DONNA STOFEL |
| Address | 1450 JONES DAIRY RD STE 600, JASPER, AL, 35501, USA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1881808400 | 2007-05-10 | 2023-12-04 | 1450 JONES DAIRY RD STE 600, JASPER, AL, 355016109, US | 1450 JONES DAIRY RD STE 600, JASPER, AL, 355016109, US | |||||||||||||||
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| Phone | +1 205-295-4106 |
| Fax | 2052954101 |
Authorized person
| Name | LEE STEPHENS |
| Role | ADMINISTRATOR |
| Phone | 2052954106 |
Taxonomy
| Taxonomy Code | 261QM1200X - Magnetic Resonance Imaging (MRI) Clinic/Center |
| Is Primary | Yes |
| CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 60EM6 | Active | Non-Manufacturer | 2010-05-24 | 2024-09-13 | 2029-09-13 | 2025-09-11 | |||||||||||||||||||||||
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| POC | LEE STEPHENS |
| Phone | +1 205-295-4106 |
| Fax | +1 205-295-4206 |
| Address | 1450 JONES DAIRY RD STE 600, JASPER, AL, 35501 6109, UNITED STATES |
Ownership of Offeror Information
| Highest Level Owner | Information not Available |
|---|
| Immediate Level Owner | |
|---|---|
| Vendor Certified | 2024-09-13 |
| CAGE number | 7JZU4 |
| Company Name | CLAUDE U. OSULA, MD, PC |
| CAGE Last Updated | 2023-01-09 |
| List of Offerors (0) | Information not Available |
|---|
| Name | Role |
|---|---|
| MICHAEL H BRASFIELD MD PC | Member |
| JOHNSON & MOSLEY MD PC | Member |
| CLAUDE OSULA MD PC | Member |
| CHARLES D CROSS II MD PC | Member |
| INTERNAL MEDICINE ASSOCIATES OF | Member |
| Name | Role | Address |
|---|---|---|
| JOHNSON, STEVE | Agent | 1105 OAK CLUSTER DRSEVIERVILLE, TN 37876-2417 |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
