| Name: | East Alabama Ambulatory Surgery Center, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 30 May 2018 (6 years ago) |
| Entity Number: | 000-520-316 |
| Register Number: | 000520316 |
| County: | Lee |
| Place of Formation: | Lee County |
| Registered Office Street Address: | 2000 PEPPERELL PARKWAYOPELIKA, AL 36801 |
| Registered Office Street Address ZIP Code: | 36801 |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NFKZUJRBUZK5 | 2025-04-15 | 900 CAMP AUBURN RD., AUBURN, AL, 36832, 4746, USA | 900 CAMP AUBURN RD., SUITE 200, AUBURN, AL, 36832, USA | |||||||||||||||||||||||||||||||||||||||||||
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| Congressional District | 03 |
| State/Country of Incorporation | AL, USA |
| Activation Date | 2024-04-17 |
| Initial Registration Date | 2022-06-21 |
| Entity Start Date | 2018-10-03 |
| Fiscal Year End Close Date | Dec 31 |
Service Classifications
| NAICS Codes | 621493 |
| Product and Service Codes | Q523 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | DE'ANA SINGLETARY |
| Role | ADMINISTRATOR |
| Address | 900 CAMP AUBURN RD, SUITE 200, AUBURN, AL, 36832, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | DE'ANA SINGLETARY |
| Role | ADMINISTRATOR |
| Address | 900 CAMP AUBURN RD, SUITE 200, AUBURN, AL, 36832, USA |
| Past Performance | Information not Available |
|---|
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1487270492 | 2020-06-25 | 2023-01-11 | 900 CAMP AUBURN ROAD SUITE 200, AUBURN, AL, 368490001, US | 900 CAMP AUBURN ROAD SUITE 200, AUBURN, AL, 368490001, US | |||||||||||||||
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| Phone | +1 334-364-3200 |
| Fax | 3343643483 |
Authorized person
| Name | DE'ANA SINGLETARY |
| Role | ADMINISTRATOR |
| Phone | 3343643226 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| Is Primary | Yes |
| CIK number | Mailing Address | Business Address | Phone | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1748192 | 2000 PEPPERELL PARKWAY, OPELIKA, AL, 36801 | 2000 PEPPERELL PARKWAY, OPELIKA, AL, 36801 | 334-528-1310 | |||||||||
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| Form type | D |
| File number | 021-319090 |
| Filing date | 2018-08-13 |
| File | View File |
| Name | Role |
|---|---|
| EAST ALABAMA HEALTH CARE AUTHORITY | Agent |
| Name | Role | Address |
|---|---|---|
| NIX, ANDREW S | Organizer | 1901 SIXTH AVENUE NORTHBIRMINGHAM, AL 35203-2618 |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
