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Montgomery Eye Surgery Center, LLC

Details

Name: Montgomery Eye Surgery Center, LLC
Jurisdiction: Alabama
Legal type: Foreign Limited Liability Company
Status: Exists
Date of registration: 11 May 1995 (30 years ago) (Companies founded in May 1995)
Entity Number: 000-600-210
Register Number: 000600210
Historical Names: The Montgomery ASC, LLC
ZIP code: 36104 (Companies in Montgomery, 36104)
County: Montgomery
Place of Formation: Tennessee
Principal Address: 1A BURTON HILLS BOULEVARDNASHVILLE, TN 37215
Registered Office Street Address: 641 SOUTH LAWRENCE STREETMONTGOMERY, AL 36104

Activities OPERATE AMBULATORY SURGERY CENTER

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1053510933 2007-07-12 2023-09-07 2752 ZELDA RD, MONTGOMERY, AL, 361062694, US 2752 ZELDA RD, MONTGOMERY, AL, 361062694, US

Contacts

Phone +1 334-270-6977
Fax 3342130622

Authorized person

Name MR. PHILLIP A CLENDENIN
Role PRESIDENT
Phone 6156651283

Taxonomy

Taxonomy Code 261QA1903X - Ambulatory Surgical Clinic/Center
License Number U5103
State AL
Is Primary Yes

Agent

Name Role Address
CORPORATION SERVICE COMPANY INC Agent 251 LITTLE FALLS DRIVEWILMINGTON, DE 19808

Events

Event Date Event Type Old Value New Value
1997-04-29 Name Change The Montgomery ASC, LLC Montgomery Eye Surgery Center, LLC

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State