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OMI of Gadsden PETCT, LLC

Details

Name: OMI of Gadsden PETCT, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 09 Jun 2021 (3 years ago) (Companies founded in June 2021)
Entity Number: 000-866-662
Register Number: 000866662
ZIP code: 35903 (Companies in Etowah, 35903)
County: Etowah
Place of Formation: Alabama
Registered Office Street Address: 1025 GOODYEAR AVENUEGADSDEN, AL 35903

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1255902516 2021-07-08 2021-12-28 1026 GOODYEAR AVE STE 50, GADSDEN, AL, 359031101, US 1026 GOODYEAR AVE STE 50, GADSDEN, AL, 359031101, US

Contacts

Phone +1 256-546-7507
Fax 2564928345

Authorized person

Name TAMMY WOMACK HOBBS
Role TREASURER
Phone 4846794455

Taxonomy

Taxonomy Code 2085R0202X - Diagnostic Radiology Physician
Is Primary Yes

Agent

Name Role
JONATHAN STIDHAM Agent

Organizer

Name Role Address
Greenberg, Jeffrey Organizer 1402 W. Swann Ave.Tampa, FL 33606

Date of last update: 16 Aug 2024

Sources: Alabama Secretary of State