| Name: | Ambasht Family Medicine, LLC |
| Jurisdiction: | Alaska |
| Legal type: | Limited Liability Company |
| Status: | Good Standing |
| Date of registration: | 02 Sep 2021 (3 years ago) |
| Entity Number: | 10172809 |
| ZIP code: | 99508 |
| County: | Anchorage |
| Place of Formation: | ALASKA |
| Address: | 3300 PROVIDENCE DR STE 114, ANCHORAGE, AK 99508 |
Line of Business
62 Health Care and Social AssistanceNAICS
621111 OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)| Name | Role |
|---|---|
| DLG SERVICES, INC. | Registered Agent |
| Anurag Ambasht | Manager |
| Ankita Ambasht | Member |
| License Number | Type | Status | Issue Date | Date of renewal | Expiration date | Description |
|---|---|---|---|---|---|---|
| 2138952 | Business License | Active | 2021-09-02 | 2024-11-13 | 2026-12-31 | LOB: 62 - Health Care and Social Assistance, NAICS: 621111 - OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS) |
| License Number | Program | Type | Status | Issue Date | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|
| 185131 | Telemedicine Business Registry | Telemedicine Business Registry | Active | 2021-10-10 | 2021-10-10 | - |
| 187893 | Telemedicine Business Registry | Telemedicine Business Registry | Active | 2021-10-10 | 2021-10-10 | - |
Date of last update: 24 Jan 2025
Sources: State of Alaska - Department of Commerce, Community, and Economic Development
