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Innovative Infusions, L.L.C.

Details

Name: Innovative Infusions, L.L.C.
Jurisdiction: Alabama
Legal type: Foreign Limited Liability Company
Status: Exists
Date of registration: 19 Dec 2006 (18 years ago) (Companies founded in December 2006)
Entity Number: 001-020-408
Register Number: 001020408
ZIP code: 36104 (Companies in Montgomery, 36104)
County: Montgomery
Place of Formation: Texas
Principal Address: 3033 W. PRESIDENT GEORGE BUSH HIGHWAY, SUITE 200PLANO, TX 75075
Registered Office Street Address: 2 NORTH JACKSON STREET, SUITE 605MONTGOMERY, AL 36104

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1194432013 2022-10-31 2022-10-31 3033 W PRESIDENT GEORGE BUSH HWY STE 100, PLANO, TX, 750755752, US 900 BOB WALLACE AVE SW STE 122, HUNTSVILLE, AL, 358015647, US

Contacts

Phone +1 972-588-1000
Phone +1 256-666-9520
Fax 2566669591

Authorized person

Name ANTHONY MOLLICA
Role CEO
Phone 9725881000

Taxonomy

Taxonomy Code 261QI0500X - Infusion Therapy Clinic/Center
Is Primary Yes
Taxonomy Code 363L00000X - Nurse Practitioner
Is Primary No

Agent

Name Role Address
C T CORPORATION SYSTEM Agent 2 NORHT JACKSON STREET SUITE 605MONTGOMERY, AL 36104

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State