| Name: | Interface Medical Consulting, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 03 Mar 2017 (8 years ago) (Companies founded in March 2017) |
| Entity Number: | 000-385-418 |
| Register Number: | 000385418 |
| ZIP code: | 35203 (Companies in Jefferson, 35203) |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 1819 FIFTH AVENUE NORTH SUITE 1000BIRMINGHAM, AL 35203 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1881182236 | 2018-05-01 | 2018-05-01 | PO BOX 146, FAIRHOPE, AL, 365330146, US | 12141 CRI, FAIRHOPE, AL, 36532, US | |||||||||||||
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| Phone | +1 251-689-7168 |
Authorized person
| Name | STEPHANIE INGENITO |
| Role | CREDENTIALING SPECIALISTS |
| Phone | 5703523063 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| IRBY, RUSSELL L III | Agent | 1819 5TH AVENUE NORTH, SUITE 1000BIRMINGHAM, AL 35203 |
| Name | Role | Address |
|---|---|---|
| IRBY, RUSSELL L III | Organizer | 1819 5TH AVENUE NORTH, SUITE 1000BIRMINGHAM, AL 35203 |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
