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Opp Imaging Services, L.L.C.

Details

Name: Opp Imaging Services, L.L.C.
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 24 Mar 2004 (21 years ago)
Entity Number: 000-698-721
Register Number: 000698721
County: Covington
Place of Formation: Covington County
Principal Address: OPP, AL
Registered Office Street Address: 702 N MAIN STOPP, AL 36467
Registered Office Street Address ZIP Code: 36467

Activities INVESTMENTS/PROPERTY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1013992023 2005-12-13 2008-04-29 PO BOX 890, 702 NORTH MAIN STREET, OPP, AL, 364670890, US 702 N MAIN ST, OPP, AL, 364671626, US

Contacts

Phone +1 334-493-1103
Fax 3344931105

Authorized person

Name JANA WYATT
Role CFO
Phone 3344933541

Taxonomy

Taxonomy Code 261QM1200X - Magnetic Resonance Imaging (MRI) Clinic/Center
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 051555207
State AL

Agent

Name Role
FOSTER, W ALLEN Agent

Member

Name Role
MIZELL MEMORIAL HOSPITAL INC Member

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State