| Name: | Crimson Internal Medicine, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 25 Sep 2015 (9 years ago) |
| Entity Number: | 000-345-532 |
| Register Number: | 000345532 |
| County: | Tuscaloosa |
| Place of Formation: | Tuscaloosa County |
| Registered Office Street Address: | 1435 2ND COURT EASTTUSCALOOSA, AL 35401 |
| Registered Office Street Address ZIP Code: | 35401 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558731067 | 2015-09-28 | 2018-08-15 | 1015 RICE VALLEY RD N, TUSCALOOSA, AL, 354062782, US | 1015 RICE VALLEY RD N, TUSCALOOSA, AL, 35406, US | |||||||||||||||||||
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| Phone | +1 205-349-1606 |
| Fax | 2053493263 |
Authorized person
| Name | DR. NANCY TACTUK ROMANENKO |
| Role | PHYSICIAN |
| Phone | 2053491606 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | 31064 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| TACTUK, NANCY | Agent |
| Name | Role |
|---|---|
| TACTUK, NANCY | Organizer |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
