| Name: | 5ive Star Diagnostic Solutions LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 07 Jun 2022 (2 years ago) |
| Entity Number: | 001-023-873 |
| Register Number: | 001023873 |
| County: | Mobile |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 1015 Montlimar Dr Suite C6Moile, AL 36609 |
| Registered Office Street Address ZIP Code: | 36609 |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| S35NJYUZQ3M6 | 2024-01-26 | 1015 MONTLIMAR DR, SUITE C6, MOBILE, AL, 36609, 1713, USA | 1015 MONTLIMAR DRIVE, C 6, MOBILE, AL, 36609, USA | |||||||||||||||||||||||||||||||||||||||||||||
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| URL | https://5ivestardiagnosticsolutions.com/ |
| Division Name | 5IVE STAR DIAGNOSTIC SOLUTIONS LLC |
| Congressional District | 01 |
| State/Country of Incorporation | AL, USA |
| Activation Date | 2023-01-30 |
| Initial Registration Date | 2022-11-28 |
| Entity Start Date | 2022-06-07 |
| Fiscal Year End Close Date | Dec 31 |
Service Classifications
| NAICS Codes | 561611, 621999 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | BRANDI JACKSON |
| Role | MRS. |
| Address | 1015 MONTLIMAR DRIVE, C 6, MOBILE, AL, 36609, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | BRANDI JACKSON |
| Role | MRS. |
| Address | 1015 MONTLIMAR DRIVE, C 6, MOBILE, AL, 36609, USA |
| Past Performance | Information not Available |
|---|
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1588420053 | 2024-02-22 | 2024-02-22 | 1015 MONTLIMAR DR STE C5, MOBILE, AL, 366091717, US | 1015 MONTLIMAR DR STE C5, MOBILE, AL, 366091717, US | |||||||||||||||
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| Phone | +1 251-300-8331 |
| Fax | 2513008501 |
Authorized person
| Name | BRANDI JACKSON |
| Role | OWNER |
| Phone | 2513008331 |
Taxonomy
| Taxonomy Code | 247ZC0005X - Clinical Laboratory Director (Non-physician) |
| Is Primary | Yes |
| Name | Role |
|---|---|
| Jackson, Brandi | Agent |
| Name | Role | Address |
|---|---|---|
| Moseley, Allicia | Organizer | 1015 Montlimar Dr SuiteMobile, AL 36609 |
Date of last update: 17 Aug 2024
Sources: Alabama Secretary of State
