| Name: | Fresenius Vascular Care Birmingham MSO, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Limited Liability Company |
| Status: | Exists |
| Date of registration: | 31 May 2011 (13 years ago) (Companies founded in May 2011) |
| Entity Number: | 000-033-700 |
| Register Number: | 000033700 |
| Historical Names: |
Nephrology Vascular Lab Management, LLC
|
| ZIP code: | 35209 (Companies in Jefferson, 35209) |
| County: | Jefferson |
| Place of Formation: | Delaware |
| Principal Address: | 1280 COLUMBIANA ROADBIRMINGHAM, AL 35209 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710766829 | 2023-09-27 | 2024-01-12 | PO BOX 201421, DALLAS, TX, 753201421, US | 1280 COLUMBIANA RD STE 120, VESTAVIA HILLS, AL, 352161604, US | |||||||||||||||||||||
|
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| Phone | +1 610-644-8900 |
| Fax | 4849240053 |
| Phone | +1 205-916-5201 |
Authorized person
| Name | GREGG MILLER |
| Role | SR. VICE PRESIDENT |
| Phone | 7175154048 |
Taxonomy
| Taxonomy Code | 2085R0204X - Vascular & Interventional Radiology Physician |
| Is Primary | No |
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| THARPE, DAVID | Agent |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2012-06-01 | Name Change | Nephrology Vascular Lab Management, LLC | Fresenius Vascular Care Birmingham MSO, LLC |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
