| Name: | Third Day Anesthesia, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 26 Aug 2020 (4 years ago) |
| Entity Number: | 000-646-679 |
| Register Number: | 000646679 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 2215 DECATUR HWY STE 101GARDENDALE, AL 35071 |
| Registered Office Street Address ZIP Code: | 35071 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326649344 | 2020-11-05 | 2020-11-05 | 2215 DECATUR HWY STE 101, GARDENDALE, AL, 350712384, US | 1701 MAIN AVE SW STE E, CULLMAN, AL, 350555385, US | |||||||||||||||||||||||||
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| Phone | +1 205-608-8199 |
| Fax | 2056088130 |
| Phone | +1 256-737-4100 |
| Fax | 2567374101 |
Authorized person
| Name | DR. RICKY B TUBBS |
| Role | OWNER/DOCTOR |
| Phone | 2056088199 |
Taxonomy
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 176152 |
| State | AL |
| Name | Role |
|---|---|
| TUBBS, RICKY B | Agent |
| Name | Role | Address |
|---|---|---|
| IRBY, RUSSELL L | Organizer | 1819 FIFTH AVENUE N STE 1000BIRMINGHAM, AL 35203 |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
