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Clearway Surgery Center of Mobile, LLC

Details

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Status: Withdrawn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

National Provider Identifier

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

Contacts

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

Agent

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