| Name: | Massvax Travel Clinic LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 20 Jul 2006 (18 years ago) |
| Entity Number: | 000-481-685 |
| Register Number: | 000481685 |
| County: | Lee |
| Place of Formation: | Lee County |
| Principal Address: | OPELIKA, AL |
| Registered Office Street Address: | 2108C GATEWAY DROPELIKA, AL 36801 |
| Registered Office Street Address ZIP Code: | 36801 |
Activities
ADMINISTER SEASONAL FLU/PNEUMONIA SHOTS
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1265450282 | 2006-07-17 | 2020-08-22 | 113 PARKSIDE DR, HEADLAND, AL, 363451520, US | 113 PARKSIDE DR, HEADLAND, AL, 363451520, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 334-790-2260 |
Authorized person
| Name | MR. RAY CHARLES THOMPSON |
| Role | RESPIRATORY THERAPIST |
| Phone | 3347902260 |
Taxonomy
| Taxonomy Code | 335V00000X - Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| Is Primary | Yes |
| Name | Role |
|---|---|
| THOMPSON, RAY CHARLES | Agent |
| Name | Role |
|---|---|
| THOMPSON, RAY CHARLES | Member |
| MILLER, GWENDOLYN MARIE | Member |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
