| Name: | Magnolia Diagnostic Laboratories LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 10 Jan 2020 (5 years ago) |
| Date of dissolution: | 17 Jul 2023 |
| Entity Number: | 000-598-004 |
| Register Number: | 000598004 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 2868 ACTON ROADVESTAVIA HILLS, AL 35243 |
| Registered Office Street Address ZIP Code: | 35243 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386284156 | 2020-01-09 | 2020-01-09 | 2868 ACTON RD STE 205, VESTAVIA, AL, 352432502, US | 2868 ACTON RD STE 205, VESTAVIA, AL, 352432502, US | |||||||||||||||||
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| Phone | +1 205-379-6075 |
| Fax | 8667020880 |
| Phone | +1 844-364-9969 |
Authorized person
| Name | JESLYN METCALF |
| Role | BILLING OPERATIONS MANAGER |
| Phone | 2053796075 |
Taxonomy
| Taxonomy Code | 291U00000X - Clinical Medical Laboratory |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| AUSTIN, CHAD | Agent | 2868 ACTON ROAD SUITE 203BIRMINGHAM, AL 35243 |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
