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Massvax Travel Clinic LLC

Details

Name: Massvax Travel Clinic LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 20 Jul 2006 (18 years ago) (Companies founded in July 2006)
Entity Number: 000-481-685
Register Number: 000481685
ZIP code: 36801 (Companies in Lee, 36801)
County: Lee
Place of Formation: Lee County
Principal Address: OPELIKA, AL
Registered Office Street Address: 2108C GATEWAY DROPELIKA, AL 36801

Activities ADMINISTER SEASONAL FLU/PNEUMONIA SHOTS

National Provider Identifier

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

Contacts

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

Agent

Name Role
THOMPSON, RAY CHARLES Agent

Member

Name Role
THOMPSON, RAY CHARLES Member
MILLER, GWENDOLYN MARIE Member

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State