| Name: | IMC - Diagnostic and Medical Clinic, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Limited Liability Company |
| Status: | Exists |
| Date of registration: | 03 Jan 1990 (35 years ago) |
| Entity Number: | 000-134-606 |
| Register Number: | 000134606 |
| Historical Names: |
IMC - Diagnostic and Medical Clinic, P.C.
|
| County: | Mobile |
| Place of Formation: | Mobile County |
| Principal Address: | 1700 SPRINGHILL AVENUEMOBILE, AL 36604 |
| Principal Address ZIP Code: | 36604 |
| Registered Office Street Address: | 5 MOBILE INFIRMARY CIRCLEMOBILE, AL 36607 |
| Registered Office Street Address ZIP Code: | 36607 |
| Principal Mailing Address: | PO BOX 2226MOBILE, AL 36652 |
| Principal Mailing Address ZIP Code: | 36652 |
Activities
TO RENDER PROFESSIONAL MEDICAL SVCS & SERVICES ANCILLARY THERETO
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568235000 | 2023-11-06 | 2023-11-15 | 1700 SPRING HILL AVE STE 100, MOBILE, AL, 366041416, US | 95 SHELL ST, SARALAND, AL, 365712202, US | |||||||||||||||
|
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| Phone | +1 251-435-1200 |
| Phone | +1 251-675-4733 |
Authorized person
| Name | CYNTHIA KIRK |
| Role | CREDENTIALS SPECIALIST |
| Phone | 2514351366 |
Taxonomy
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| NIX, D M | Agent |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2017-03-24 | Name Change | IMC - Diagnostic and Medical Clinic, P.C. | IMC - Diagnostic and Medical Clinic, LLC |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
