| Name: | Jason D. Cobb, MD, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 06 Nov 2014 (10 years ago) |
| Date of dissolution: | 21 Feb 2019 |
| Entity Number: | 000-322-026 |
| Register Number: | 000322026 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Principal Address: | 52 MEDICAL PARK EAST DRIVE,SUITE 220BIRMINGHAM, AL 35235 |
| Principal Address ZIP Code: | 35235 |
Activities
PHYSICIAN'S ORTHOPAEDIC SURGERY PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1407225295 | 2015-09-22 | 2015-09-22 | 7063 VETERANS PKWY, STE 200, PELL CITY, AL, 351255114, US | 7063 VETERANS PKWY, STE 200, PELL CITY, AL, 351255114, US | |||||||||||||||||||||
|
|||||||||||||||||||||||||
| Phone | +1 205-884-7700 |
| Fax | 2058847602 |
Authorized person
| Name | DR. JASON D COBB |
| Role | PRESIDENT |
| Phone | 2058847700 |
Taxonomy
| Taxonomy Code | 207X00000X - Orthopaedic Surgery Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE |
| Number | 102G708177 |
| State | AL |
| Name | Role |
|---|---|
| ALABAMA ORTHOPAEDIC SURGEONS | Agent |
| Name | Role | Address |
|---|---|---|
| COBB, MELISSA | Organizer | 1224 AVALON LANEANNISTON, AL 36207 |
| COLEMAN, MATTHEW | Organizer | 52 MEDICAL PARK EAST DRIVE,SUITE 220BIRMINGHAM, AL 35235 |
| COBB, JASON D | Organizer | 1224 AVALON LANEANNISTON, AL 36207 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
