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North Alabama Vascular and Dialysis Access Care, LLC

Details

Name: North Alabama Vascular and Dialysis Access Care, LLC
Jurisdiction: Alabama
Legal type: Foreign Limited Liability Company
Status: Exists
Date of registration: 17 Feb 2021 (4 years ago)
Entity Number: 000-835-861
Register Number: 000835861
County: Madison
Place of Formation: Delaware
Registered Office Street Address: 641 South Lawrence StreetMontgomery, AL 36104
Registered Office Street Address ZIP Code: 36104
Principal Address: 1311 Memorial Parkway Northwest, SuiHuntsville, AL 35801
Principal Address ZIP Code: 35801

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1306430947 2021-02-24 2024-07-30 1 PARKWAY NORTH BLVD STE 200S, DEERFIELD, IL, 600152534, US 1311 MEMORIAL PKWY NW STE 300, HUNTSVILLE, AL, 358015944, US

Contacts

Phone +1 847-949-3843
Fax 8778237570
Phone +1 256-535-5008

Authorized person

Name JASON LOHMEYER
Role CFO
Phone 8479493855

Taxonomy

Taxonomy Code 207RN0300X - Nephrology Physician
Is Primary Yes
Taxonomy Code 2085R0204X - Vascular & Interventional Radiology Physician
Is Primary No
Taxonomy Code 2086S0129X - Vascular Surgery Physician
Is Primary No

Agent

Name Role
Corporation Service Company Inc. Agent

Date of last update: 16 Aug 2024

Sources: Alabama Secretary of State