| Name: | Integrated Pain Management of Alabama, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 14 Mar 2013 (12 years ago) |
| Entity Number: | 000-275-736 |
| Register Number: | 000275736 |
| County: | Mobile |
| Place of Formation: | Mobile County |
| Registered Office Street Address: | 7860 COTTAGE HILL ROADMOBILE, AL 36695 |
| Registered Office Street Address ZIP Code: | 36695 |
Activities
TO INVEST
MANAGE
AND OPERATE MEDICAL PRACTICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518303593 | 2013-05-16 | 2013-05-16 | PO BOX 8159, MOBILE, AL, 366890159, US | 7860 COTTAGE HILL RD, STE A, MOBILE, AL, 366954102, US | |||||||||||||||||||||
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| Phone | +1 251-414-5810 |
| Fax | 2514145809 |
| Phone | +1 606-584-8842 |
Authorized person
| Name | LLOYD ANDREW MANCHIKES |
| Role | MEDICAL DIRECTOR |
| Phone | 6065848842 |
Taxonomy
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| Is Primary | No |
| Taxonomy Code | 208VP0000X - Pain Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MANCHIKES, LLOYD A | Agent | 11120 CANAL DRIVETHEODORE, AL 36582 |
| Name | Role | Address |
|---|---|---|
| TURNER, SELWYN H III | Organizer | 406 AUSTILL PLACEMOBILE, AL 36608 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
