| Name: | Prestige Medical LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 23 Aug 2013 (11 years ago) (Companies founded in August 2013) |
| Entity Number: | 000-286-510 |
| Register Number: | 000286510 |
| ZIP code: | 36609 (Companies in Mobile, 36609) |
| County: | Mobile |
| Place of Formation: | Mobile County |
| Principal Address: | 57 DOWNTOWNER BLVD STE DNOT PROVIDED, AL |
| Principal Mailing Address: | 2117 CAROLINE STMANDEVILLE, LA 70448 |
| Registered Office Street Address: | 857 DOWNTOWNER BLVD SUITE DMOBILE, AL 36609 |
Activities
MEDICAL HEALTH SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1629452123 | 2015-07-14 | 2019-09-09 | 103 S NAVY BLVD, PENSACOLA, FL, 325073603, US | 857 DOWNTOWNER BLVD STE G, MOBILE, AL, 366095420, US | |||||||||||||||||||||||
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| Phone | +1 850-361-1502 |
| Fax | 8503611503 |
| Phone | +1 251-341-7295 |
| Fax | 2513417690 |
Authorized person
| Name | MR. BRIAN NORRIS |
| Role | OWNER |
| Phone | 2513417295 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| Is Primary | Yes |
| CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 7E4H8 | Obsolete | Non-Manufacturer | 2015-06-17 | 2023-04-17 | 2023-04-16 | No data | |||||||||||||
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| POC | BRIAN C. NORRIS |
| Phone | +1 985-377-8909 |
| Address | 857 DOWNTOWNER BLVD STE G, MOBILE, AL, 36609 5420, UNITED STATES |
Ownership of Offeror Information
| Highest Level Owner | Information not Available |
|---|
| Immediate Level Owner | Information not Available |
|---|
| List of Offerors (0) | Information not Available |
|---|
| Name | Role | Address |
|---|---|---|
| NORRIS, BRIAN | Agent | 2117 CAROLINE STMANDEVILLE, LA 70448 |
| Name | Role | Address |
|---|---|---|
| NORRIS, BRIAN | Organizer | 2117 CAROLINE STMANDEVILLE, LA 70448 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
