| Name: | STV Cardiology Clinic, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 02 Dec 2015 (9 years ago) (Companies founded in December 2015) |
| Entity Number: | 000-350-418 |
| Register Number: | 000350418 |
| ZIP code: | 35205 (Companies in Jefferson, 35205) |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 810 ST VINCENT'S DRIVE POB 1 3RD FLBIRMINGHAM, AL 35205 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366817199 | 2015-12-04 | 2017-09-07 | 50 MEDICAL PARK EAST DRIVE, BIRMINGHAM, AL, 352353401, US | 46 MEDICAL PARK EAST DRIVE, BUILDING 46, SUITE 460, BIRMINGHAM, AL, 352353401, US | |||||||||||||||||||||||
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| Phone | +1 205-930-2903 |
| Fax | 2059302158 |
Authorized person
| Name | BRANDON WILLIAMS |
| Role | CFO |
| Phone | 2058383766 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
| Is Primary | No |
| Taxonomy Code | 207RI0011X - Interventional Cardiology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| REILLY, JAMES C | Organizer | 1130 22ND ST S RIDGE PARK STE 4000BIRMINGHAM, AL 35205 |
| Name | Role |
|---|---|
| ST VINCENT'S HEALTH SYSTEM | Agent |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
