| Name: | A4 Specialty Medical Group Fairbanks, LLC |
| Jurisdiction: | Alaska |
| Legal type: | Limited Liability Company |
| Status: | Good Standing |
| Date of registration: | 22 Dec 2023 (a year ago) |
| Entity Number: | 10254529 |
| ZIP code: | 99503 |
| County: | Anchorage |
| Place of Formation: | ALASKA |
| Address: | 510 W TUDOR RD , STE 1, ANCHORAGE, AK 99503 |
| Mailing Address: | PO BOX 200212, ANCHORAGE, AK 99520 |
Line of Business
62 Health Care and Social AssistanceNAICS
621111 OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)| Name | Role |
|---|---|
| A4 Specialty Medical Group, LLC | Member |
| Joshua Hodes | Registered Agent |
| Mardan Afrasiabi | Manager |
| Type | License Number | Status | Date of issue | Date of renewal | Expiration date | Description |
|---|---|---|---|---|---|---|
| Business License | 2190780 | Active | 2023-12-26 | - | 2025-12-31 | LOB: 62 - Health Care and Social Assistance, NAICS: 621111 - OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS) |
Date of last update: 10 Jan 2025
Sources: State of Alaska - Department of Commerce, Community, and Economic Development
