| Name: | IMC-Otolaryngology Facial Plastic & Reconstructive Surgery, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 13 Jun 2011 (13 years ago) |
| Date of dissolution: | 26 Mar 2019 |
| Entity Number: | 000-015-935 |
| Register Number: | 000015935 |
| Historical Names: |
IMC-Otolaryngology Facial Plastic & Reconstructive Surgery, P.C.
|
| County: | Mobile |
| Place of Formation: | Mobile County |
| Principal Address: | 1700 SPRINGHILL AVENUEMOBILE, AL 36604 |
| Principal Address ZIP Code: | 36604 |
| Principal Mailing Address: | PO BOX 2226MOBILE, AL 36652 |
| Principal Mailing Address ZIP Code: | 36652 |
| Registered Office Street Address: | 5 MOBILE INFIRMARY CIRCLEMOBILE, AL 36607 |
| Registered Office Street Address ZIP Code: | 36607 |
Activities
TO RENDER PROFESSIONAL MEDICAL SVCS & SERVICES ANCILLARY THERETO
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1275828659 | 2011-06-14 | 2011-06-14 | 3401 MEDICAL PARK DR, BLDG 1, SUITE 103, MOBILE, AL, 366933318, US | 3401 MEDICAL PARK DR, BLDG 1, SUITE 103, MOBILE, AL, 366933318, US | |||||||||||||
|
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| Phone | +1 251-463-2010 |
Authorized person
| Name | MRS. MARIANNE F SMITH |
| Role | DIRECTOR |
| Phone | 2514632010 |
Taxonomy
| Taxonomy Code | 207YS0123X - Facial Plastic Surgery Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| NIX, D M | Agent |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2017-03-24 | Name Change | IMC-Otolaryngology Facial Plastic & Reconstructive Surgery, P.C. | IMC-Otolaryngology Facial Plastic & Reconstructive Surgery, LLC |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
