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Redland Clinic, LLC

Details

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

National Provider Identifier

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

Contacts

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

Member

Name Role Address
MATELA, MICHAEL B Member 6354 TENNYSON DRIVEMONTGOMERY, AL 36116
ALOLOD, GLADYS ELEANOR R Member No data

Agent

Name Role Address
SIMMONS, CHRISTOPHER S Agent 184 COMMERCE STREETMONTGOMERY, AL 36104

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State