| Name: | NeuroPathways, PLLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Limited Liability Company |
| Status: | Exists |
| Date of registration: | 19 Sep 2019 (5 years ago) |
| Entity Number: | 000-587-714 |
| Register Number: | 000587714 |
| Historical Names: |
NeuroPathways
|
| County: | Montgomery |
| Place of Formation: | Alabama |
| Principal Address: | 4228 LOMAC STREET SUITE 2MONTGOMERY, AL 36106 |
| Principal Address ZIP Code: | 36106 |
| Principal Mailing Address: | 806 STANTON DRIVEAUBURN, AL 36830 |
| Principal Mailing Address ZIP Code: | 36830 |
| Registered Office Street Address: | 4228 LOMAC STREET, SUITE 2MONTGOMERY, AL 36106 |
| Registered Office Street Address ZIP Code: | 36106 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1619720059 | 2024-04-08 | 2024-04-08 | 4228 LOMAC ST STE 2, MONTGOMERY, AL, 361062929, US | 4228 LOMAC ST STE 2, MONTGOMERY, AL, 361062929, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 919-928-2351 |
Authorized person
| Name | DR. MATHEW WALLACE |
| Role | OWNER |
| Phone | 9199282351 |
Taxonomy
| Taxonomy Code | 2084P2900X - Pain Medicine (Psychiatry & Neurology) Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| WALLACE, MATHEW | Agent |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2023-11-21 | Name Change | NeuroPathways | NeuroPathways, PLLC |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
