Search icon

Women's Imaging Specialist - Foley, LLC

Details

Name: Women's Imaging Specialist - Foley, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 28 Aug 2017 (7 years ago)
Entity Number: 000-402-052
Register Number: 000402052
Historical Names: Women's Imaging Specialists - Gulf Shores, LLC
ZIP code: 36535
County: Baldwin
Place of Formation: Baldwin County
Principal Address: 2508 S MCKENZIE STFOLEY, AL 36535
Registered Office Street Address: 1229 GULF SHORES PKWY - SUITE 100GULF SHORES, AL 36542

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1548789852 2017-09-18 2023-05-15 3180 N POINT PKWY STE 106, ALPHARETTA, GA, 300054349, US 2508 S MCKENZIE ST, FOLEY, AL, 365353406, US

Contacts

Phone +1 866-300-8512
Phone +1 251-255-6262
Fax 2512560901

Authorized person

Name JENNIFER L REDDY
Role MANAGER
Phone 4044286107

Taxonomy

Taxonomy Code 261QR0200X - Radiology Clinic/Center
Is Primary No
Taxonomy Code 261QR0206X - Mammography Clinic/Center
Is Primary Yes

Agent

Name Role
GUZZETTA, MIKE CPA Agent

Events

Event Date Event Type Old Value New Value
2021-04-08 Name Change Women's Imaging Specialists - Gulf Shores, LLC Women's Imaging Specialist - Foley, LLC

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State