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EM TRANSFORM, LLC

Details

Name: EM TRANSFORM, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 11 Jul 2022 (2 years ago) (Companies founded in July 2022)
Entity Number: 001-029-119
Register Number: 001029119
ZIP code: 36093 (Companies in Elmore, 36093)
County: Elmore
Place of Formation: Alabama
Registered Office Street Address: 885 BROOKWOOD DRIVEWETUMPKA, AL 36093

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1285417154 2023-08-15 2023-11-21 8 OAK PARK DR, BEDFORD, MA, 017301414, US 200 MEDICAL CENTER DR SW, FORT PAYNE, AL, 359683458, US

Contacts

Phone +1 256-845-3150

Authorized person

Name DJIBY DIOP
Role MD
Phone 7812801699

Taxonomy

Taxonomy Code 207P00000X - Emergency Medicine Physician
Is Primary Yes

Organizer

Name Role Address
DIOP, DR. DJIBY Organizer 885 BROOKWOOD DRIVEWETUMPKA, AL 36093

Agent

Name Role Address
DIOP, DR. DJIBY Agent 885 BROOKWOOD DRIVEWETUMPKA, AL 36093

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State