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Island Medical Athens, LLC

Details

Name: Island Medical Athens, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Merged
Date of registration: 19 May 2016 (9 years ago) (Companies founded in May 2016)
Entity Number: 000-363-089
Register Number: 000363089
ZIP code: 36104 (Companies in Montgomery, 36104)
County: Montgomery
Place of Formation: Montgomery County
Registered Office Street Address: 641 SOUTH LAWRENCE STREETMONTGOMERY, AL 36104

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1528419801 2016-06-28 2016-06-28 PO BOX 74595, CLEVELAND, OH, 441940002, US 700 W MARKET ST, ATHENS, AL, 356112457, US

Contacts

Phone +1 330-656-5911
Phone +1 256-233-9292

Authorized person

Name JOAN DE LA PRIDA
Role CFO
Phone 6315147600

Taxonomy

Taxonomy Code 207P00000X - Emergency Medicine Physician
Is Primary Yes

Agent

Name Role Address
CORPORATION SERVICE COMPANY INC Agent 251 LITTLE FALLS DRIVEWILMINGTON, DE 19808

Organizer

Name Role Address
MARTIN, MEREDITH Organizer 1007 EAST MAIN STREET SUITE 300BOZEMAN, MT 59715

Date of last update: 04 Aug 2024

Sources: Alabama Secretary of State