Name: | STV Pulmonary Group, LLC |
Jurisdiction: | Alabama |
Legal type: | Domestic Limited Liability Company |
Status: | Exists |
Date of registration: | 02 Feb 2017 (8 years ago) (Companies founded in February 2017) |
Entity Number: | 000-382-720 |
Register Number: | 000382720 |
ZIP code: | 36104 (Companies in Montgomery, 36104) |
County: | Montgomery |
Place of Formation: | Jefferson County |
Registered Office Street Address: | 641 SOUTH LAWRENCE STREETMONTGOMERY, AL 36104 |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1548797566 | 2017-05-22 | 2017-05-22 | 50 MEDICAL PARK DR E BLDG 46, BIRMINGHAM, AL, 352353401, US | 2660 10TH AVE S STE 528, BIRMINGHAM, AL, 352051625, US | |||||||||||||||||||||||||
|
Phone | +1 205-838-5286 |
Phone | +1 205-933-9258 |
Fax | 2059336504 |
Authorized person
Name | JENNIFER KINGRY |
Role | CFO |
Phone | 2058383766 |
Taxonomy
Taxonomy Code | 207RC0200X - Critical Care Medicine (Internal Medicine) Physician |
Is Primary | No |
Taxonomy Code | 207RP1001X - Pulmonary Disease Physician |
Is Primary | Yes |
Taxonomy Code | 207RS0012X - Sleep Medicine (Internal Medicine) Physician |
Is Primary | No |
Name | Role | Address |
---|---|---|
REILLY, JAMES C | Organizer | 1130 22ND ST S RIDGE PARK STE 4000BIRMINGHAM, AL 35205 |
Name | Role | Address |
---|---|---|
CORPORATION SERVICE COMPANY INC | Agent | 251 LITTLE FALLS DRIVEWILMINGTON, DE 19808 |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State