| Name: | Hematology & Oncology Associates of Alabama, L.L.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 29 Jul 2002 (22 years ago) |
| Entity Number: | 000-683-768 |
| Register Number: | 000683768 |
| County: | Jefferson |
| Place of Formation: | Etowah County |
| Principal Address: | RAINBOW CITY, AL |
| Registered Office Street Address: | 3918 MONTCLAIR ROAD SUITE 96WBIRMINGHAM, AL 35213 |
| Registered Office Street Address ZIP Code: | 35213 |
Activities
PRACTICE MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1902346372 | 2017-03-03 | 2018-07-19 | PO BOX 131329, BIRMINGHAM, AL, 352136329, US | 513 BROOKWOOD BLVD STE 65, BIRMINGHAM, AL, 352096862, US | |||||||||||||||||||||||||||
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| Phone | +1 205-209-3514 |
| Fax | 2058475172 |
Authorized person
| Name | ALLEN YEILDING |
| Role | VICE PRESIDENT |
| Phone | 2052718541 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | 114728 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PK |
| Number | 2170231 |
| Name | Role |
|---|---|
| CASTILLO, ELQUIS M | Member |
| Name | Role |
|---|---|
| CASTILLO, ELQUIS M | Agent |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
