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Vestavia Diagnostic Center, LLC

Details

Name: Vestavia Diagnostic Center, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 15 Mar 2019 (6 years ago)
Entity Number: 000-546-897
Register Number: 000546897
County: Jefferson
Place of Formation: Jefferson County
Registered Office Street Address: 1021 MONTGOMERY HIGHWAYVESTAVIA HILLS, AL 35216
Registered Office Street Address ZIP Code: 35216

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1649826785 2019-08-14 2019-08-14 700 MONTGOMERY HWY STE 194, VESTAVIA HILLS, AL, 352161879, US 700 MONTGOMERY HWY STE 194, VESTAVIA HILLS, AL, 352161879, US

Contacts

Phone +1 205-949-1806
Fax 2058707735

Authorized person

Name KELLY WRIGHT
Role MANAGER
Phone 2059491806

Taxonomy

Taxonomy Code 261QR0200X - Radiology Clinic/Center
Is Primary Yes

Agent

Name Role Address
SWAID, SWAID N Agent 3010 SOUTH COVE DRIVEBIRMINGHAM, AL 35216

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State