| Name: | IMC- Cancer Surgery of Mobile, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Limited Liability Company |
| Status: | Exists |
| Date of registration: | 18 Nov 2010 (14 years ago) (Companies founded in November 2010) |
| Entity Number: | 000-265-781 |
| Register Number: | 000265781 |
| Historical Names: |
IMC- Cancer Surgery of Mobile, P.C.
|
| ZIP code: | 36604 (Companies in Mobile, 36604) |
| County: | Mobile |
| Place of Formation: | Mobile County |
| Principal Address: | 1700 SPRINGHILL AVENUEMOBILE, AL 36604 |
| Principal Mailing Address: | PO BOX 2226MOBILE, AL 36652 |
| Registered Office Street Address: | 5 MOBILE I NFIRMARY CIRCLEMOBILE, AL 36607 |
Activities
TO RENDER PROFESSIONAL MEDICAL SVCS & SERVICES ANCILLARY THERETO
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1063714012 | 2010-11-24 | 2019-11-01 | 3 MOBILE INFIRMARY CIR, SUITE 305, MOBILE, AL, 366073520, US | 3 MOBILE INFIRMARY CIR, SUITE 305, MOBILE, AL, 366073520, US | |||||||||||||||||||
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| Phone | +1 251-433-5557 |
| Fax | 2514335558 |
Authorized person
| Name | MR. ANTHONY PALAZZO |
| Role | VICE PRESIDENT OF FINANCE |
| Phone | 2514351361 |
Taxonomy
| Taxonomy Code | 2086X0206X - Surgical Oncology Physician |
| License Number | MD.24560 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| NIX, D M | Agent |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2017-03-24 | Name Change | IMC- Cancer Surgery of Mobile, P.C. | IMC- Cancer Surgery of Mobile, LLC |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
