| 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) |
| Entity Number: | 000-695-682 |
| Register Number: | 000695682 |
| County: | Jefferson |
| Place of Formation: | Tuscaloosa County |
| Registered Office Street Address: | 2121 HIGHLAND AVEBIRMINGHAM, AL 35205 |
| Registered Office Street Address ZIP Code: | 35205 |
Activities
PROVIDE SERVICES TO DCH HEALTHCARE AUTHORITY
| 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 | |||||||||||||||
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| 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 |
| Name | Role |
|---|---|
| REPETTO, JAVIER | Agent |
| 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
