| Name: | Women's Imaging Specialists - Fairhope, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 15 Jun 2020 (4 years ago) |
| Entity Number: | 000-634-148 |
| Register Number: | 000634148 |
| County: | Baldwin |
| Place of Formation: | Baldwin County |
| Registered Office Mailing Address: | 1229 Gulf Shores Pkwy., Suite 100Gulf Shores, AL 36542 |
| Registered Office Mailing Address ZIP Code: | 36542 |
| Registered Office Street Address: | 7540 Cipriano Court, Suite AFairhope, AL 36532 |
| Registered Office Street Address ZIP Code: | 36532 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790300838 | 2020-06-15 | 2023-05-15 | 3180 N POINT PKWY STE 106, ALPHARETTA, GA, 300054349, US | 7540 CIPRIANO CT STE A, FAIRHOPE, AL, 365323029, US | |||||||||||||||
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| Phone | +1 866-300-8512 |
| Fax | 8006138386 |
Authorized person
| Name | JENNIFER L REDDY |
| Role | MANAGER |
| Phone | 8663008512 |
Taxonomy
| Taxonomy Code | 261QR0206X - Mammography Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| Reddy, Raja | Agent |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
