| Name: | Gulf Coast Molecular Laboratories, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 15 Jun 2018 (6 years ago) (Companies founded in June 2018) |
| Entity Number: | 000-521-365 |
| Register Number: | 000521365 |
| ZIP code: | 36527 (Companies in Baldwin, 36527) |
| County: | Baldwin |
| Place of Formation: | Baldwin County |
| Registered Office Street Address: | 11617 Highway 31Spanish Fort, AL 36527 |
| Registered Office Mailing Address: | 407 S. McDonough St.Montgomery, AL 36104 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780160770 | 2018-07-13 | 2022-03-01 | 11617 HWY 31, UNIT 3, SPANISH FORT, AL, 36527, US | 11617 HWY 31, UNIT 3, SPANISH FORT, AL, 36527, US | |||||||||||||||||||||||||||||
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| Phone | +1 251-494-2540 |
| Fax | 2519306727 |
| Fax | 2053748606 |
Authorized person
| Name | MR. JAMES POTTER |
| Role | ADMINISTRATOR |
| Phone | 2514942540 |
Taxonomy
| Taxonomy Code | 291U00000X - Clinical Medical Laboratory |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 227036 |
| State | AL |
| Issuer | MEDICAID |
| Number | 427926701 |
| State | TX |
| Name | Role |
|---|---|
| McArdle, Scott T Esq. | Agent |
| Name | Role | Address |
|---|---|---|
| MCARDLE, JOHN T JR. | Organizer | 661 VILLAGE CIRCLEBIRMINGHAM, AL 35226 |
| POTTER, JAMES M | Organizer | 576 SHELTER COVE DRIVESANTA ROSA BEACH, AL 32459 |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
