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West Madison Urgent & Primary Care LLC

Details

Name: West Madison Urgent & Primary Care LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 05 Jul 2021 (3 years ago)
Entity Number: 000-871-288
Register Number: 000871288
County: Madison
Place of Formation: Alabama
Registered Office Street Address: 11202 COUNTY LINE ROAD SUITE AMadison, AL 35758
Registered Office Street Address ZIP Code: 35758

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1558006767 2022-05-02 2022-05-02 11202 COUNTY LINE RD, SUITE A, MADISON, AL, 357584866, US 11202 COUNTY LINE RD, SUITE A, MADISON, AL, 357584866, US

Contacts

Phone +1 256-278-3080
Fax 8335871768

Authorized person

Name ADNAN SELJUKI
Role OWNER
Phone 2562783080

Taxonomy

Taxonomy Code 261QU0200X - Urgent Care Clinic/Center
Is Primary Yes

Organizer

Name Role Address
Khan, Ehtisham R Organizer 106 Deveron CtMadison, AL 35758

Agent

Name Role
Seljuki, Adnan A Seljuki Agent

Date of last update: 16 Aug 2024

Sources: Alabama Secretary of State