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Restore Vein and Wellness LLC

Details

Name: Restore Vein and Wellness LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 03 Jul 2018 (6 years ago)
Entity Number: 000-523-195
Register Number: 000523195
Historical Names: Alliance Vein and Wellness LLC
County: Jefferson
Place of Formation: Jefferson County
Registered Office Street Address: 2010 PATTON CHAPEL ROAD SUITE 200BIRMINGHAM, AL 35216
Registered Office Street Address ZIP Code: 35216

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1891278990 2018-09-13 2018-09-13 2010 PATTON CHAPEL RD STE 102, VESTAVIA HILLS, AL, 352165783, US 2010 PATTON CHAPEL RD STE 102, VESTAVIA HILLS, AL, 352165783, US

Contacts

Phone +1 205-208-9001
Fax 2052080031

Authorized person

Name MRS. LYNNE E. MARSTON
Role PRACTICE MANAGER
Phone 2052089001

Taxonomy

Taxonomy Code 246XC2903X - Vascular Specialist/Technologist
Is Primary Yes

Agent

Name Role
THOMA, RICHARD B Agent

Organizer

Name Role Address
LEVY, JACK B Organizer 1819 FIFTH AVENUE NBIRMINGHAM, AL 35203

Events

Event Date Event Type Old Value New Value
2018-08-21 Name Change Alliance Vein and Wellness LLC Restore Vein and Wellness LLC

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State