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 |
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 | |||||||||||||||||||||||||
|
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 |
Name | Role |
---|---|
Corporation Service Company Inc. | Agent |
Date of last update: 16 Aug 2024
Sources: Alabama Secretary of State