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West Jefferson Radiology, LLC

Details

Name: West Jefferson Radiology, LLC
Jurisdiction: Alabama
Legal type: Domestic Professional Limited Liability Company
Status: Exists
Date of registration: 19 Nov 2018 (6 years ago) (Companies founded in November 2018)
Entity Number: 000-535-323
Register Number: 000535323
ZIP code: 35209 (Companies in Jefferson, 35209)
County: Jefferson
Place of Formation: Jefferson County
Registered Office Street Address: 1931 WELLINGTON ROADBIRMINGHAM, AL 35209

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1053875278 2019-01-23 2019-06-20 2000A SOUTHBRIDGE PKWY STE 300, BIRMINGHAM, AL, 352097718, US 995 9TH AVE SW, BESSEMER, AL, 35022, US

Contacts

Phone +1 205-871-4274
Fax 2058714301
Phone +1 205-481-8763

Authorized person

Name DR. ROBERT KACHELHOFER
Role PRESIDENT
Phone 2055204059

Taxonomy

Taxonomy Code 2085R0202X - Diagnostic Radiology Physician
Is Primary Yes

Organizer

Name Role Address
LUKE, COLIN H Organizer 1901 6TH AVENUE NORTH SSUITE 1400BIRMINGHAM, AL 35203

Agent

Name Role
KACHELHOFER, ROBERT D Agent

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State