| Name: | Lillian Medical Clinic, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 02 Mar 1999 (26 years ago) (Companies founded in March 1999) |
| Entity Number: | 000-201-499 |
| Register Number: | 000201499 |
| Historical Names: |
Lillian Convenient Care, P.C.
|
| ZIP code: | 36549 (Companies in Baldwin, 36549) |
| County: | Baldwin |
| Place of Formation: | Baldwin County |
| Principal Address: | LILLIAN, AL |
| Registered Office Street Address: | 33500 HELMS LANELILLIAN, AL 36549 |
| Authorized Capital: | 25,000 |
| Paid Share Capital: | $1,000 |
Activities
PRACTICE OF MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1629248190 | 2008-03-11 | 2008-04-08 | PO BOX 389, LILLIAN, AL, 365490389, US | 34463 US HIGHWAY 98, LILLIAN, AL, 365494049, US | |||||||||||||||||||
|
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| Phone | +1 251-962-4362 |
| Fax | 2519624363 |
Authorized person
| Name | DR. RADCLIFFE J COYLE |
| Role | DR. / OWNER |
| Phone | 2519624362 |
Taxonomy
| Taxonomy Code | 305S00000X - Point of Service |
| License Number | 6346 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| COYLE, RADCLIFFE J | Agent |
| Name | Role |
|---|---|
| COYLE, RADCLIFFE J | Incorporator |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2001-03-23 | Name Change | Lillian Convenient Care, P.C. | Lillian Medical Clinic, P.C. |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
