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Mobile Emergency Physicians, LLC

Details

Name: Mobile Emergency Physicians, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 28 Feb 2013 (12 years ago)
Entity Number: 000-071-834
Register Number: 000071834
County: Montgomery
Place of Formation: Montgomery County
Principal Address: 5665 NEW NORTHSIDE DRIVE SUITE 320ATLANTA, GA 30328
Registered Office Street Address: 641 SOUTH LAWRENCE STREETMONTGOMERY, AL 36104
Registered Office Street Address ZIP Code: 36104

Activities STAFFING & PROVIDING PHYSICIAN SRVCS TO HOSPITALS/HEALTH CARE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1881934982 2013-02-26 2020-02-05 PO BOX 23480, BELFAST, ME, 049154485, US 6801 AIRPORT BLVD, MOBILE, AL, 366083709, US

Contacts

Phone +1 770-874-5400
Phone +1 251-633-1000
Fax 7708745483

Authorized person

Name KIM H LARSEN
Role DIRECTOR OF CREDENTIALING
Phone 7708745400

Taxonomy

Taxonomy Code 207P00000X - Emergency Medicine Physician
Is Primary Yes

Agent

Name Role Address
CORPORATION SERVICE COMPANY INC Agent 251 LITTLE FALLS DRIVEWILMINGTON, DE 19808

Organizer

Name Role Address
APOLLOMD BUSINESS SERVICES LLC Organizer 5665 NEW NORTHSIDE DRIVE SUITE 320ATLANTA, GA 30328
PARKER, JOAN CATALANO Organizer 5665 NEW NORTHSIDE DRIVE, STE 230ATLANTA, GA 30328

Date of last update: 31 Jul 2024

Sources: Alabama Secretary of State