| Name: | Urology Clinic, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 26 Jan 2001 (24 years ago) |
| Entity Number: | 000-673-761 |
| Register Number: | 000673761 |
| ZIP code: | 36420 |
| County: | Covington |
| Place of Formation: | Covington County |
| Principal Address: | ANDALUSIA, AL |
| Registered Office Street Address: | 215 MEDICAL PARK LANE STE 2ANDALUSIA, AL 36420 |
Activities
PRACTICE OF MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1417912957 | 2006-04-18 | 2020-08-22 | 215 MEDICAL PARK DR, SUITE 2, ANDALUSIA, AL, 364205311, US | 215 MEDICAL PARK DR, SUITE 2, ANDALUSIA, AL, 364205311, US | |||||||||||||||
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| Phone | +1 334-427-7218 |
| Fax | 3344274999 |
Authorized person
| Name | WENDY WEAVER |
| Role | OFFICE MANAGER |
| Phone | 3344277218 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| Is Primary | Yes |
| Name | Role |
|---|---|
| GOODLET, JAMES S JR | Agent |
| Name | Role |
|---|---|
| GOODLET, JAMES S JR | Member |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
