| Name: | INFECTIOUS DISEASE MEDICINE, INC. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 11 Jul 2011 (13 years ago) |
| Entity Number: | 000-014-497 |
| Register Number: | 000014497 |
| County: | Lauderdale |
| Place of Formation: | Lauderdale County |
| Principal Mailing Address: | PO BOX 3307BRENTWOOD, TN 37024 |
| Registered Office Street Address: | 9276 WARDLEY PARK LANEBRENTWOOD, TN 37027 |
| Principal Address: | 541 WEST COLLEGE ST SUITE 3200FLORENCE, AL 35630 |
| Principal Address ZIP Code: | 35630 |
| Authorized Capital: | 1,000 |
Activities
MEDICAL PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1265720817 | 2011-07-18 | 2011-07-18 | PO BOX 3307, BRENTWOOD, TN, 370243307, US | 541 W COLLEGE ST, SUITE 3200, FLORENCE, AL, 356305323, US | |||||||||||||||||||
|
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| Phone | +1 256-764-2482 |
| Fax | 2567642982 |
Authorized person
| Name | MUBASHIR A ZAHID |
| Role | PHYSICIAN |
| Phone | 2567642482 |
Taxonomy
| Taxonomy Code | 207RI0200X - Infectious Disease Physician |
| License Number | 31060 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ZAHID, MUBASHIR A | Agent | 9276 WARDLEY PARK LANEBRENTWOOD, TN 37027 |
| Name | Role | Address |
|---|---|---|
| ZAHID, MUBASHIR A | Director | 9276 WARDLEY PARK LANEBRENTWOOD, TN 37027 |
| Name | Role | Address |
|---|---|---|
| ZAHID, MUBASHIR A | Incorporator | 9276 WARDLEY PARK LANEBRENTWOOD, TN 37027 |
| ZAHID, ABIDA M | Incorporator | 9276 WARDLEY PARK LANEBRENTWOOD, TN 37027 |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
