| Name: | Alabama EMG, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 30 Jun 2010 (14 years ago) |
| Entity Number: | 000-449-093 |
| Register Number: | 000449093 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Principal Address: | BIRMINGHAM, AL |
| Registered Office Street Address: | 1819 5TH AVENUE NORTH, SUITE 1000BIRMINGHAM, AL 35203 |
| Registered Office Street Address ZIP Code: | 35203 |
Activities
MEDICAL CLINIC
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1144527326 | 2011-02-24 | 2013-11-22 | 102 BRIGADOON DR, MADISON, AL, 357578735, US | 4704 WHITESBURG DR SW, SUITE 201, HUNTSVILLE, AL, 358021679, US | |||||||||||||||||||||||||||||
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| Phone | +1 256-270-9979 |
| Fax | 2562709980 |
Authorized person
| Name | DR. PAIGE C ROY |
| Role | PHYSICIAN OWNER |
| Phone | 2055142514 |
Taxonomy
| Taxonomy Code | 261QR0400X - Rehabilitation Clinic/Center |
| License Number | MD 28175 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | INDIVIDUAL NPI DR. PAIGE ROY |
| Number | 1730129016 |
| Issuer | BCBS ALABAMA |
| Number | 51110930 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| KINMAN, DAVID R | Agent | 1901 SIXTH AVENUE NORTH, 1700 REGIONBIRMINGHAM, AL 35203 |
| Name | Role | Address |
|---|---|---|
| KINMAN, DAVID R | Member | 1901 SIXTH AVENUE NORTH, 1700 REGIONBIRMINGHAM, AL 35203 |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
