| Name: | MONTGOMERY ANESTHESIA, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Limited Liability Company |
| Status: | Exists |
| Date of registration: | 28 Jun 2017 (8 years ago) |
| Entity Number: | 000-395-449 |
| Register Number: | 000395449 |
| ZIP code: | 36104 |
| County: | Montgomery |
| Place of Formation: | Tennessee |
| Principal Address: | 2752 ZELDA ROADMONTGOMERY, AL 36106-2694 |
| Principal Mailing Address: | 1 A BURTON HILL BLVDNASHVILLE, TN 37215 |
| Registered Office Street Address: | 641 SOUTH LAWRENCE STREETMONTGOMERY, AL 36104 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1487177739 | 2017-07-19 | 2023-01-20 | 1A BURTON HILLS BLVD, NASHVILLE, TN, 372156187, US | 2752 ZELDA RD, MONTGOMERY, AL, 361062694, US | |||||||||||||||||||
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| Phone | +1 615-240-3809 |
| Fax | 6152341809 |
| Phone | +1 334-270-9677 |
| Fax | 3342130622 |
Authorized person
| Name | JEAN KOCHENDORFER |
| Role | SR DIRECTOR OF RCM TRANSFORMATION |
| Phone | 6152403795 |
Taxonomy
| Taxonomy Code | 367500000X - Certified Registered Nurse Anesthetist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CORPORATION SERVICE COMPANY INC | Agent | 251 LITTLE FALLS DRIVEWILMINGTON, DE 19808 |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
