Name: | Redland Clinic, LLC |
Jurisdiction: | Alabama |
Legal type: | Domestic Limited Liability Company |
Status: | Dissolved |
Date of registration: | 02 May 2007 (18 years ago) (Companies founded in May 2007) |
Date of dissolution: | 30 Oct 2017 |
Entity Number: | 000-493-953 |
Register Number: | 000493953 |
ZIP code: | 36104 (Companies in Montgomery, 36104) |
County: | Montgomery |
Place of Formation: | Montgomery County |
Principal Address: | MONTGOMERY, AL |
Registered Office Street Address: | 184 COMMERCE STMONTGOMERY, AL 36104 |
Activities
MEDICAL SERVICES
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1528247905 | 2007-11-01 | 2008-06-26 | PO BOX 399, WETUMPKA, AL, 360920007, US | 740 US HIGHWAY 231, WETUMPKA, AL, 360931228, US | |||||||||||||||||||
|
Phone | +1 334-567-8932 |
Fax | 3345678933 |
Authorized person
Name | MICHAEL BANTILAN MATELA |
Role | OWNER |
Phone | 3343549219 |
Taxonomy
Taxonomy Code | 207Q00000X - Family Medicine Physician |
License Number | 27101 |
State | AL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
MATELA, MICHAEL B | Member | 6354 TENNYSON DRIVEMONTGOMERY, AL 36116 |
ALOLOD, GLADYS ELEANOR R | Member | No data |
Name | Role | Address |
---|---|---|
SIMMONS, CHRISTOPHER S | Agent | 184 COMMERCE STREETMONTGOMERY, AL 36104 |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State