Name: | SEC Lung, LLC |
Jurisdiction: | Alabama |
Legal type: | Domestic Limited Liability Company |
Status: | Exists |
Date of registration: | 28 May 2009 (15 years ago) |
Entity Number: | 000-434-209 |
Register Number: | 000434209 |
County: | Houston |
Place of Formation: | Covington County |
Principal Address: | ---ANDALUSIA, AL |
Registered Office Street Address: | 217 GRACELAND DR, STE 3DOTHAN, AL 36305 |
Registered Office Street Address ZIP Code: | 36305 |
Activities
MEDICAL PRACTICE
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1659501906 | 2009-07-21 | 2013-06-05 | 822 S THREE NOTCH ST, STE B, ANDALUSIA, AL, 364205310, US | 822 S THREE NOTCH ST, STE B, ANDALUSIA, AL, 364205310, US | |||||||||||||||||||
|
Phone | +1 888-681-5864 |
Fax | 3342226633 |
Authorized person
Name | DR. ROBERT I GARVER JR. |
Role | OWNER |
Phone | 8886815864 |
Taxonomy
Taxonomy Code | 207RC0200X - Critical Care Medicine (Internal Medicine) Physician |
Is Primary | No |
Taxonomy Code | 207RP1001X - Pulmonary Disease Physician |
Is Primary | Yes |
Name | Role |
---|---|
GARVER, ROBERT I JR | Member |
GARVER, MICHELLE H | Member |
Name | Role |
---|---|
GARVER, ROBERT I JR | Agent |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State