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The Shoals Urgent Care, LLC

Details

Name: The Shoals Urgent Care, LLC
Jurisdiction: Alabama
Legal type: Domestic Professional Limited Liability Company
Status: Dissolved
Date of registration: 04 Jun 2015 (10 years ago)
Date of dissolution: 27 Feb 2017
Entity Number: 000-337-374
Register Number: 000337374
ZIP code: 36104
County: Montgomery
Place of Formation: Montgomery County
Registered Office Street Address: 2 NORTH JACKSON STREET SUITE 605MONTGOMERY, AL 36104

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1295117612 2015-06-22 2015-06-22 506 ALLIBAR PL, BRENTWOOD, TN, 370275624, US 1335 HIGHWAY 72, KILLEN, AL, 356459136, US

Contacts

Phone +1 615-370-3072

Authorized person

Name RALEIGH DALE KENNEDY
Role OWNER
Phone 6155044334

Taxonomy

Taxonomy Code 261QU0200X - Urgent Care Clinic/Center
State AL
Is Primary Yes

Agent

Name Role
NATIONAL REGISTERED AGENTS INC Agent

Organizer

Name Role
KENNEDY, DALE Organizer

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State