Name: | Clearway Surgery Center of Mobile, LLC |
Jurisdiction: | Alabama |
Legal type: | Foreign Limited Liability Company |
Status: | Withdrawn |
Date of registration: | 03 Jul 2019 (5 years ago) |
Entity Number: | 000-580-509 |
Register Number: | 000580509 |
County: | Montgomery |
Place of Formation: | Delaware |
Principal Address: | 855 DOWNTOWNER BLVDMOBILE, AL 36699 |
Registered Office Street Address: | 2 NORTH JACKSON STREET STE 605MONTGOMERY, AL 36104 |
Registered Office Street Address ZIP Code: | 36104 |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1962057497 | 2019-08-01 | 2019-08-01 | PO BOX 11637, PENSACOLA, FL, 325241637, US | 855 DOWNTOWNER BLVD STE A, MOBILE, AL, 366095403, US | |||||||||||||||
|
Phone | +1 850-484-4080 |
Fax | 8504848801 |
Authorized person
Name | JESSICA SCHLEMBACH |
Role | CHIEF COMPLIANCE OFFICER |
Phone | 8504395425 |
Taxonomy
Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
C T CORPORATION SYSTEM | Agent | 2 NORHT JACKSON STREET SUITE 605MONTGOMERY, AL 36104 |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State