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Alabama Sleep and Lung Medicine, LLC

Details

Name: Alabama Sleep and Lung Medicine, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 01 Sep 2011 (13 years ago) (Companies founded in September 2011)
Entity Number: 000-019-571
Register Number: 000019571
ZIP code: 35209 (Companies in Jefferson, 35209)
County: Jefferson
Place of Formation: Jefferson County
Registered Office Street Address: 2018 BROOKWOOD MED CNTR DR STE 115BIRMINGHAM, AL 35209

Activities MEDICAL PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1376826586 2011-09-23 2012-01-18 2018 BROOKWOOD MEDICAL CENTER DRIVE, SUITE 115, BIRMINGHAM, AL, 352096870, US 2018 BROOKWOOD MEDICAL CENTER DRIVE, SUITE 115, BIRMINGHAM, AL, 352096870, US

Contacts

Phone +1 205-802-6186
Fax 2058023941

Authorized person

Name DONNA J MULKIN
Role OFFICE MANAGER
Phone 2058026186

Taxonomy

Taxonomy Code 207RP1001X - Pulmonary Disease Physician
License Number 10246
State AL
Is Primary Yes

Agent

Name Role Address
DUBOIS, GUSTAVO A Agent 2018 BROOKWOOD MED CNTR DR STE 115BIRMINGHAM, AL 35209

Organizer

Name Role Address
DUBOIS, GUSTAVO A Organizer 2018 BROOKWOOD MED CNTR DR STE 115BIRMINGHAM, AL 35209

Date of last update: 30 Jul 2024

Sources: Alabama Secretary of State