| Name: | Mobile Medicine of Alabama, L.L.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 06 Jun 2014 (10 years ago) |
| Entity Number: | 000-312-273 |
| Register Number: | 000312273 |
| County: | Shelby |
| Place of Formation: | Shelby County |
| Principal Address: | 112 WEEPING CIRCLEWILSONVILLE, AL 35186 |
| Principal Address ZIP Code: | 35186 |
Activities
PROVIDE HEALTHCARE WITHIN THE COMMUNITY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053724252 | 2014-06-05 | 2016-03-07 | 7070 AARON ARONOV DRIVE, SUITE 88, FAIRFIELD, AL, 35064, US | 7070 AARON ARONOV DRIVE, SUITE 88, FAIRFIELD, AL, 35064, US | |||||||||||||||||||
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| Phone | +1 205-678-3708 |
| Fax | 2054492066 |
Authorized person
| Name | TAKESHIA MONIQUE DENT |
| Role | DNP, MSN, CCRN, CME, FNP-C |
| Phone | 2057182781 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| License Number | 1-107825 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| MOBILE MEDICINE OF ALABAMA LLC | Agent |
| Name | Role | Address |
|---|---|---|
| DENT, TAKESHIA | Organizer | 112 WEEPING CIRCLEWILSONVILLE, AL 35186 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
