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STV Pulmonary Group, LLC

Details

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

National Provider Identifier

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

Contacts

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

Organizer

Name Role Address
REILLY, JAMES C Organizer 1130 22ND ST S RIDGE PARK STE 4000BIRMINGHAM, AL 35205

Agent

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