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Specialty Clinical Services LLC

Details

Name: Specialty Clinical Services LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 06 Oct 2021 (3 years ago)
Entity Number: 000-946-712
Register Number: 000946712
County: Cullman
Place of Formation: Alabama
Registered Office Street Address: 2104 AL Hwy 157Cullman, AL 35058
Registered Office Street Address ZIP Code: 35058

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1528727179 2021-12-10 2022-06-24 2104 AL HIGHWAY 157, CULLMAN, AL, 350580656, US 2104 AL HIGHWAY 157, CULLMAN, AL, 350580656, US

Contacts

Phone +1 256-734-3146
Fax 2567342179

Authorized person

Name PATRICK BROWN
Role AUTHORIZED OFFICIAL
Phone 2567343146

Taxonomy

Taxonomy Code 261Q00000X - Clinic/Center
Is Primary Yes
Taxonomy Code 261QM1300X - Multi-Specialty Clinic/Center
Is Primary No

Agent

Name Role Address
Brown, William K Agent 7803 Marshall Run DrHuntsville, AL 35802

Organizer

Name Role Address
Harris, Hugh C Organizer 401 2nd Ave. SWCullman, AL 35055

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State