| Name: | Clinic652, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 09 Dec 2021 (3 years ago) (Companies founded in December 2021) |
| Entity Number: | 000-956-405 |
| Register Number: | 000956405 |
| ZIP code: | 35903 (Companies in Etowah, 35903) |
| County: | Etowah |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 2600 East Meighan BoulevardGadsden, AL 35903 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508518002 | 2022-01-25 | 2022-01-25 | 417 TAYLOR ST, GADSDEN, AL, 359032557, US | 2600 E MEIGHAN BLVD, GADSDEN, AL, 359031924, US | |||||||||||||||
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| Phone | +1 256-418-4005 |
| Fax | 2563990102 |
Authorized person
| Name | WARREN ALEXANDER O'MEARA-DATES |
| Role | MEMBER/CHIEF EXECUTIVE OFFICER |
| Phone | 2564184005 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| O'Meara-Dates, Warren A | Agent |
Date of last update: 17 Aug 2024
Sources: Alabama Secretary of State
