| Name: | Vascular Associates of South Alabama, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 23 May 2012 (13 years ago) |
| Entity Number: | 000-058-357 |
| Register Number: | 000058357 |
| Historical Names: |
SOMO, LLC
|
| ZIP code: | 36608 |
| County: | Mobile |
| Place of Formation: | Mobile County |
| Registered Office Street Address: | 124 A SOUTH UNIVERSITY BOULEVARDMOBILE, AL 36608 |
Activities
ANY LAWFUL ACT OR ACTIVITY
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | Vascular Associates of South Alabama, LLC, MISSISSIPPI | 1186412 | MISSISSIPPI |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1801282868 | 2015-04-07 | 2019-04-19 | PO BOX 850849, MOBILE, AL, 366850849, US | 1551 OLD SHELL RD, MOBILE, AL, 366041354, US | |||||||||||||||||||||
|
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| Phone | +1 251-343-5004 |
| Fax | 2513430833 |
| Phone | +1 251-410-8272 |
| Fax | 2514108273 |
Authorized person
| Name | ANDREW RADOSZEWSKI |
| Role | PRACTICE ADMINISTRATOR |
| Phone | 2513006969 |
Taxonomy
| Taxonomy Code | 2086S0129X - Vascular Surgery Physician |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BUTERA, PHILIP J | Organizer | 6432 CANEBRAKE ROADMOBILE, AL 36695 |
| DENISON, TODD L | Organizer | 101 DAUPHIN ST STE 1000MOBILE, AL 36602 |
| Name | Role | Address |
|---|---|---|
| WILBER, STEPHEN P | Agent | 124A SOUTH UNIVERSITY BLVDMOBILE, AL 36608 |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2015-04-01 | Name Change | SOMO, LLC | Vascular Associates of South Alabama, LLC |
Date of last update: 31 Jul 2024
Sources: Alabama Secretary of State
