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METRO INFECTIOUS DISEASE CONSULTANTS, LLC.

Details

Name: METRO INFECTIOUS DISEASE CONSULTANTS, LLC.
Jurisdiction: Alabama
Legal type: Foreign Limited Liability Company
Status: Exists
Date of registration: 26 Jul 1994 (30 years ago)
Entity Number: 000-276-852
Register Number: 000276852
County: Montgomery
Place of Formation: Illinois
Principal Address: 901 MCCLINTOCK DRIVEBURR RIDGE, IL 60527
Registered Office Street Address: 2 NORTH JACKSON STREET STE 605MONTGOMERY, AL 36104
Registered Office Street Address ZIP Code: 36104

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1659702223 2013-12-09 2013-12-13 901 MCCLINTOCK DR, SUITE 202, BURR RIDGE, IL, 605270871, US 1102 MONROE ST SW, HUNTSVILLE, AL, 358015029, US

Contacts

Phone +1 888-220-6432
Fax 6307344715
Phone +1 256-469-7200
Fax 2564967201

Authorized person

Name TARA KOWALSKI
Role HR/CREDENTIALING MANAGER
Phone 8882206432

Taxonomy

Taxonomy Code 207RI0200X - Infectious Disease Physician
Is Primary Yes

Agent

Name Role
NATIONAL REGISTERED AGENTS INC Agent

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State