| Name: | Mulberry Medical LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 12 May 2016 (8 years ago) |
| Date of dissolution: | 27 Jul 2021 |
| Entity Number: | 000-362-551 |
| Register Number: | 000362551 |
| County: | Montgomery |
| Place of Formation: | Montgomery County |
| Registered Office Street Address: | 1323 MULBERRY STREETMONTGOMERY, AL 36106 |
| Registered Office Street Address ZIP Code: | 36106 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1295286300 | 2016-10-24 | 2016-10-24 | 2100 CHESTNUT ST, MONTGOMERY, AL, 361061113, US | 2100 CHESTNUT ST, MONTGOMERY, AL, 361061113, US | |||||||||||||||||||
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| Phone | +1 334-676-4090 |
| Fax | 3346764091 |
Authorized person
| Name | KYNARD L ADAMS |
| Role | OWNER |
| Phone | 3342643434 |
Taxonomy
| Taxonomy Code | 305S00000X - Point of Service |
| License Number | 10658 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| ADAMS, KYNARD L | Agent |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
