| Name: | Ladiga Medical, L.L.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 17 Feb 2004 (21 years ago) |
| Entity Number: | 000-697-588 |
| Register Number: | 000697588 |
| County: | Calhoun |
| Place of Formation: | Calhoun County |
| Principal Address: | JACKSONVILLE, AL |
| Registered Office Street Address: | 1460-A 2ND AVE SWJACKSONVILLE, AL 36265 |
| Registered Office Street Address ZIP Code: | 36265 |
Activities
MEDICINE PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609933514 | 2007-01-02 | 2008-11-24 | 1460 A SECOND AVE SW, JACKSONVILLE, AL, 36265, US | 1460 2ND AVE SW # A, JACKSONVILLE, AL, 362653358, US | |||||||||||||||||||||||||||
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| Phone | +1 256-435-2180 |
| Fax | 2564359525 |
Authorized person
| Name | PENNY E NEWTON |
| Role | OFFICE MANAGER |
| Phone | 2564352180 |
Taxonomy
| Taxonomy Code | 173000000X - Legal Medicine |
| License Number | 7858 |
| State | AL |
| Is Primary | Yes |
| Taxonomy Code | 173000000X - Legal Medicine |
| License Number | 9644 |
| State | AL |
| Is Primary | No |
| Name | Role |
|---|---|
| YATES, JAMES R | Agent |
| Name | Role |
|---|---|
| YATES, JAMES RICHARD | Member |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
