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Eclipse Pathology, LLC

Details

Name: Eclipse Pathology, LLC
Jurisdiction: Alabama
Legal type: Foreign Limited Liability Company
Status: Exists
Date of registration: 30 May 2023 (a year ago)
Entity Number: 001-082-168
Register Number: 001082168
County: Madison
Place of Formation: Delaware
Principal Mailing Address: 240 Watterson WayMadison, AL 35756
Principal Mailing Address ZIP Code: 35756
Principal Address: 12205 County Line Rd., Suite GMadison, AL 35758
Principal Address ZIP Code: 35758

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1982484614 2023-10-02 2023-10-02 12205 COUNTY LINE RD STE G, MADISON, AL, 357587719, US 12205 COUNTY LINE RD STE G, MADISON, AL, 357587719, US

Contacts

Phone +1 256-542-0110

Authorized person

Name JOHN EVANS
Role MEMBER
Phone 2565420110

Taxonomy

Taxonomy Code 207ZC0006X - Clinical Pathology Physician
Is Primary Yes

Agent

Name Role
Arora, Manish Agent

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State