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Integrated Medical Services LLC

Details

Name: Integrated Medical Services LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 07 Dec 2012 (12 years ago)
Date of dissolution: 14 Dec 2017
Entity Number: 000-056-064
Register Number: 000056064
County: Montgomery
Place of Formation: Montgomery County
Registered Office Street Address: 560 S MCDONOUGH STMONTGOMERY, AL
Principal Address: 4142 CARMICHAEL ROADMONTGOMERY, AL 36106
Principal Address ZIP Code: 36106

Activities INTEGRATION OF HEALTH CARE SILOS

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1578804522 2013-03-14 2013-03-14 4142 CARMICHAEL RD, MONTGOMERY, AL, 361062936, US 4142 CARMICHAEL RD, MONTGOMERY, AL, 361062936, US

Contacts

Phone +1 334-213-8803
Fax 3342138815

Authorized person

Name DR. MICHAEL L REEVES
Role PRESIDENT/OWNER
Phone 3342138803

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
License Number 10228
State AL
Is Primary Yes

Agent

Name Role Address
HAMM, DANIEL Agent 560 S. MCDONOUGH STREET SUITE AMONTGOMERY, AL 36104

Organizer

Name Role Address
REEVES, MICHAEL L Organizer 4142 CARMICHAEL ROADMONTGOMERY, AL 36106

Date of last update: 31 Jul 2024

Sources: Alabama Secretary of State