Search icon

Neonatology Associates of Tuscaloosa, LLC

Details

Name: Neonatology Associates of Tuscaloosa, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 12 Dec 2003 (21 years ago) (Companies founded in December 2003)
Entity Number: 000-695-682
Register Number: 000695682
ZIP code: 35205 (Companies in Jefferson, 35205)
County: Jefferson
Place of Formation: Tuscaloosa County
Registered Office Street Address: 2121 HIGHLAND AVEBIRMINGHAM, AL 35205

Activities PROVIDE SERVICES TO DCH HEALTHCARE AUTHORITY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1689088650 2014-06-17 2014-06-17 10250 LAKE SIDE DR, TUSCALOOSA, AL, 354065007, US 809 UNIVERSITY BLVD E, TUSCALOOSA, AL, 354012029, US

Contacts

Phone +1 205-333-4655
Fax 2053334660

Authorized person

Name DR. JAVIER REPETTO
Role ACTING MANAGER/SECRETARY
Phone 2053334655

Taxonomy

Taxonomy Code 2080N0001X - Neonatal-Perinatal Medicine Physician
Is Primary Yes

Agent

Name Role
REPETTO, JAVIER Agent

Member

Name Role Address
CHOI, HANSEEK Member No data
GODOY, GUILLERMO Member 1364 DOWNING RIDGETUSCALOOSA, AL 35406
REPETTO, JAVIER Member No data

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State