| Name: | Phlebotomy Ink Allied Healthcare Services LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Limited Liability Company |
| Status: | Exists |
| Date of registration: | 10 Feb 2020 (5 years ago) |
| Entity Number: | 000-622-348 |
| Register Number: | 000622348 |
| Historical Names: |
Phlebotomy Ink Allied Healthcare Services
|
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 1100 EAST PARK DRIVE STE 102BIRMINGHAM, AL 35235 |
| Registered Office Street Address ZIP Code: | 35235 |
| Principal Address: | 1100 E PARK DR STE 102BIRMINGHAM, AL 35235 |
| Principal Address ZIP Code: | 35235 |
Activities
To act as a linkage to health care services while providing phle
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1437771052 | 2020-05-18 | 2021-11-22 | 1100 E PARK DR STE 102, BIRMINGHAM, AL, 352352563, US | 1100 E PARK DR STE 102, BIRMINGHAM, AL, 352352563, US | |||||||||||||||||||||||
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| Phone | +1 205-582-9075 |
| Fax | 2055829079 |
Authorized person
| Name | LAKIYA JONES |
| Role | EXECUTIVE DIRECTOR |
| Phone | 2055829075 |
Taxonomy
| Taxonomy Code | 261QC1500X - Community Health Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 291U00000X - Clinical Medical Laboratory |
| Is Primary | Yes |
| Name | Role |
|---|---|
| LAKIYA, JONES | Agent |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2021-09-10 | Name Change | Phlebotomy Ink Allied Healthcare Services | Phlebotomy Ink Allied Healthcare Services LLC |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
