| Name: | Heart Institute of Andalusia, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 16 May 2014 (11 years ago) |
| Entity Number: | 000-309-833 |
| Register Number: | 000309833 |
| ZIP code: | 36420 |
| County: | Covington |
| Place of Formation: | Covington County |
| Registered Office Street Address: | 5 EAST COURT SQUAREANDALUSIA, AL 36420 |
Activities
MEDICAL OFFICE PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780096263 | 2014-06-02 | 2014-06-02 | 215 MEDICAL PARK DR, SUITE 1, ANDALUSIA, AL, 364205354, US | 215 MEDICAL PARK DR, SUITE 1, ANDALUSIA, AL, 364205354, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 334-222-4327 |
| Fax | 3342224333 |
Authorized person
| Name | GREGORY D PRICE |
| Role | MD, OWNER |
| Phone | 3342224327 |
Taxonomy
| Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
| Is Primary | Yes |
| Taxonomy Code | 207UN0901X - Nuclear Cardiology Physician |
| Is Primary | No |
| Name | Role |
|---|---|
| MURPHY, J M | Agent |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 7351207707 | 2020-05-01 | 0459 | PPP | 215 MEDICAL DR, ANDALUSIA, AL, 36420 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
