| Name: | IMC-Gulf Coast Gastroenterology, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Limited Liability Company |
| Status: | Exists |
| Date of registration: | 18 Nov 2015 (9 years ago) (Companies founded in November 2015) |
| Entity Number: | 000-349-848 |
| Register Number: | 000349848 |
| Historical Names: |
IMC-Gulf Coast Gastroenterology, P.C.
|
| ZIP code: | 36604 (Companies in Mobile, 36604) |
| County: | Mobile |
| Place of Formation: | Mobile County |
| Registered Office Street Address: | 5 MOBILE INFIRMARY CIRCLEMOBILE, AL 36607 |
| Principal Address: | 1700 SPRINGHILL AVENUEMOBILE, AL 36604 |
| Principal Mailing Address: | PO BOX 2226MOBILE, AL 36652 |
Activities
TO RENDER PROFESSIONAL MEDICAL SVCS & SERVICES ANCILLARY THERETO
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1699130716 | 2015-12-16 | 2019-08-26 | 188 HOSPITAL DR, SUITE 405, FAIRHOPE, AL, 365322018, US | 188 HOSPITAL DR, SUITE 405, FAIRHOPE, AL, 365322018, US | |||||||||||||||
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| Phone | +1 251-990-0360 |
| Fax | 2519900366 |
Authorized person
| Name | MR. ANTHONY PALAZZO |
| Role | VICE PRESIDENT OF FINANCE |
| Phone | 2514351361 |
Taxonomy
| Taxonomy Code | 207RG0100X - Gastroenterology Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| NIX, D M | Agent |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2017-03-24 | Name Change | IMC-Gulf Coast Gastroenterology, P.C. | IMC-Gulf Coast Gastroenterology, LLC |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
