| Name: | Open Air MRI of Troy, L.L.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 19 Jun 2003 (21 years ago) |
| Entity Number: | 000-690-931 |
| Register Number: | 000690931 |
| County: | Pike |
| Place of Formation: | Pike County |
| Registered Office Street Address: | 1350 HWY 231 SOUTHTROY, AL 36081 |
| Registered Office Street Address ZIP Code: | 36081 |
Activities
ANY LAWFUL ACTIVITY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992797823 | 2005-08-17 | 2015-02-13 | 1001 S FRANKLIN DR, TROY, AL, 360813849, US | 1001 S FRANKLIN DR, TROY, AL, 360813849, US | |||||||||||||||||||||
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| Phone | +1 334-670-0927 |
| Fax | 3346700928 |
Authorized person
| Name | JAMES W. HOLMES |
| Role | CHIEF OPERATING OFFICER |
| Phone | 3372919161 |
Taxonomy
| Taxonomy Code | 293D00000X - Physiological Laboratory |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 051554529 |
| State | AL |
| Name | Role |
|---|---|
| DICHIARA, PETER | Agent |
| Name | Role | Address |
|---|---|---|
| JICKS, ROBERT | Member | 3101 LAKE STREETLAKE CHARLES, LA 70601 |
| Name | Role | Address |
|---|---|---|
| JICKS, ROBERT | Organizer | 3101 LAKE STREETLAKE CHARLES, LA 70601 |
| YOUNG, ALAN | Organizer | 101 PROFESSIONAL LANEENTERPRISE, AL 36330 |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
