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One Nineteen GI ASC, LLC

Details

Name: One Nineteen GI ASC, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 30 Dec 2020 (4 years ago)
Entity Number: 000-829-321
Register Number: 000829321
County: Montgomery
Place of Formation: Montgomery County
Registered Office Street Address: 2 NORTH JACKSON STREET - SUITE 605MONTGOMERY, AL 36104
Registered Office Street Address ZIP Code: 36104

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1114696234 2021-09-11 2022-07-27 1550 W MCEWEN DR STE 350, FRANKLIN, TN, 370671792, US 7191 CAHABA VALLEY RD, SUITE 202, BIRMINGHAM, AL, 35242, US

Contacts

Phone +1 817-343-2859

Authorized person

Name CHARLES DASHER
Role BOARD PRESIDENT
Phone 2056392871

Taxonomy

Taxonomy Code 261QA1903X - Ambulatory Surgical Clinic/Center
Is Primary Yes

Central Index Key

CIK number Mailing Address Business Address Phone
1878843 7191 CAHABA VALLEY ROAD,, SUITE 202, BIRMINGHAM, AL, 35242 7191 CAHABA VALLEY ROAD,, SUITE 202, BIRMINGHAM, AL, 35242 708-492-0531

Filings since 2024-03-06

Form type D
File number 021-506870
Filing date 2024-03-06
File View File

Filings since 2021-08-19

Form type D
File number 021-410606
Filing date 2021-08-19
File View File

Agent

Name Role Address
C T CORPORATION SYSTEM Agent 2 NORHT JACKSON STREET SUITE 605MONTGOMERY, AL 36104

Date of last update: 16 Aug 2024

Sources: Alabama Secretary of State