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Grandview Surgery LLC

Details

Name: Grandview Surgery LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 08 Sep 2015 (9 years ago)
Date of dissolution: 11 Feb 2016
Entity Number: 000-344-363
Register Number: 000344363
ZIP code: 35210
County: Jefferson
Place of Formation: Jefferson County
Registered Office Street Address: 316 ALPINE STREETBIRMINGHAM, AL 35210

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1245608306 2015-09-07 2015-09-07 316 ALPINE ST, IRONDALE, AL, 352103210, US 316 ALPINE ST, IRONDALE, AL, 352103210, US

Contacts

Phone +1 205-335-4998

Authorized person

Name HEATHER WALDROP
Role OWNER
Phone 2053354998

Taxonomy

Taxonomy Code 208600000X - Surgery Physician
State AL
Is Primary Yes

Agent

Name Role
WALDRUP, HEATHER Agent

Organizer

Name Role Address
IRBY, RUSSELL L III Organizer 1819 5TH AVENUE NORTH, SUITE 1000BIRMINGHAM, AL 35203

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State