| Name: | Valley Pathology, L.L.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 01 Aug 1995 (29 years ago) (Companies founded in August 1995) |
| Entity Number: | 000-652-285 |
| Register Number: | 000652285 |
| ZIP code: | 35601 (Companies in Morgan, 35601) |
| County: | Morgan |
| Place of Formation: | Morgan County |
| Principal Address: | 1403 8TH STREET SE (PO BOX 2086)DECATUR, AL 35601 |
| Registered Office Street Address: | 1403 8TH ST SEDECATUR, AL 35601 |
Activities
PRACTICE OF MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1437168879 | 2006-08-05 | 2023-04-14 | PO BOX 2086, DECATUR, AL, 356022086, US | 1221 13TH AVE SE, DECATUR, AL, 356014306, US | |||||||||||||||||||||||||
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| Phone | +1 256-351-9470 |
| Fax | 2563519472 |
Authorized person
| Name | DR. JAMES O. DAILEY |
| Role | PATHOLOGIST/MANAGING PARTNER |
| Phone | 2563519470 |
Taxonomy
| Taxonomy Code | 291U00000X - Clinical Medical Laboratory |
| License Number | 12425 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 529801370 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| DAILEY, JAMES O JR MD | Member | No data |
| Virginia Graham, M.D. | Member | P.O. Box 2086Decatur, AL 35602 |
| Name | Role |
|---|---|
| DAILEY, JAMES O JR MD | Agent |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
