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 |
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 | |||||||||||||
|
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 |
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 | |
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