Name: | Relias Emergency Medicine Specialists of Hamilton, LLC |
Jurisdiction: | Alabama |
Legal type: | Foreign Limited Liability Company |
Status: | Exists |
Date of registration: | 03 Apr 2019 (6 years ago) |
Entity Number: | 000-573-928 |
Register Number: | 000573928 |
County: | Montgomery |
Place of Formation: | Mississippi |
Principal Address: | 201 W. Main Street, Suite 200Tupelo, MS 38804 |
Principal Mailing Address: | P.O. Box 7058Tupelo, MS 38802 |
Registered Office Street Address: | 2 North Jackson Street, Suite 605Montgomery, AL 36104 |
Registered Office Street Address ZIP Code: | 36104 |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1457912297 | 2019-06-24 | 2020-07-17 | 8 OAK PARK DRIVE, ATTN: PROVIDER ENROLLMENT, BEDFORD, MA, 017301414, US | 1256 MILITARY ST S, HAMILTON, AL, 355705003, US | |||||||||||||||
|
Phone | +1 662-432-4106 |
Fax | 7812766447 |
Authorized person
Name | LUKE WEST |
Role | CEO |
Phone | 6624324106 |
Taxonomy
Taxonomy Code | 207P00000X - Emergency Medicine Physician |
Is Primary | Yes |
Name | Role |
---|---|
C T Corporation System | Agent |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State