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Grace Diagnostic Center LLC

Details

Name: Grace Diagnostic Center LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 30 Nov 2021 (3 years ago)
Entity Number: 000-954-800
Register Number: 000954800
ZIP code: 36590
County: Mobile
Place of Formation: Alabama
Registered Office Street Address: Box Po 1041Theodore, AL 36590

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1063164721 2022-01-24 2022-01-24 1013 DOWNTOWNER BLVD, MOBILE, AL, 366095427, US 1013 DOWNTOWNER BLVD, MOBILE, AL, 366095427, US

Contacts

Phone +1 251-725-0844

Authorized person

Name MS. NATASHA WILIAMS
Role OWNER
Phone 2517250844

Taxonomy

Taxonomy Code 261QH0100X - Health Service Clinic/Center
Is Primary Yes

Agent

Name Role Address
Williams, Natsha Agent 1013 Downtowner BlvdMobile, AL 36609

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State