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Island Medical Perseus, LLC

Details

Name: Island Medical Perseus, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 02 Apr 2014 (11 years ago)
Entity Number: 000-306-729
Register Number: 000306729
Historical Names: Perseus, LLC
County: Montgomery
Place of Formation: Montgomery County
Principal Address: 12420 MILESTONE CENTER DRIVE STE 200GERMANTOWN, MD 20876
Principal Mailing Address: 1007 E MAIN ST STE 300BOZEMAN, MT 59715
Registered Office Street Address: 641 SOUTH LAWRENCE STREETMONTGOMERY, AL 36104
Registered Office Street Address ZIP Code: 36104

Activities MEDICAL SERVICES (HOSPITALIST PROGRAM)

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1063831295 2014-04-15 2020-07-31 PO BOX 3299, CARSON CITY, NV, 897023299, US 1912 AL HIGHWAY 157, CULLMAN, AL, 350580609, US

Contacts

Phone +1 800-405-0076
Phone +1 256-737-2000

Authorized person

Name MS. AMY CHARLEY
Role CHIEF LEGAL OFFICER
Phone 2406862300

Taxonomy

Taxonomy Code 208M00000X - Hospitalist Physician
Is Primary Yes

Agent

Name Role Address
CORPORATION SERVICE COMPANY INC Agent 251 LITTLE FALLS DRIVEWILMINGTON, DE 19808

Member

Name Role Address
SCHAMBAN, NEIL Member 1007 EAST MAIN STREET SUITE 300BOZEMAN, MT 59715

Organizer

Name Role Address
JUSTIN, ELLIOT Organizer 1007 E MAIN ST STE 300BOZEMAN, MT 59715

Events

Event Date Event Type Old Value New Value
2016-10-05 Name Change Perseus, LLC Island Medical Perseus, LLC

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State