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ENT Imaging, LLC

Details

Name: ENT Imaging, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 21 Jun 2005 (19 years ago) (Companies founded in June 2005)
Entity Number: 000-465-852
Register Number: 000465852
ZIP code: 35205 (Companies in Jefferson, 35205)
County: Jefferson
Place of Formation: Jefferson County
Principal Address: BIRMINGHAM, AL
Registered Office Street Address: 2700 10TH AVE SOUTH STE 502BIRMINGHAM, AL 35205

Activities LEASING IMAGING EQUIPMENT

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1639469547 2011-04-12 2011-04-12 2700 10TH AVE S, SUITE 502, BIRMINGHAM, AL, 352051200, US 2700 10TH AVE S, SUITE 502, BIRMINGHAM, AL, 352051200, US

Contacts

Phone +1 205-933-2952
Fax 2059335893

Authorized person

Name DR. LEV H BRAGG
Role PRESIDENT
Phone 2059332952

Taxonomy

Taxonomy Code 207Y00000X - Otolaryngology Physician
License Number 10997
State AL
Is Primary Yes
Taxonomy Code 207YX0901X - Otology & Neurotology Physician
License Number 16561
State AL
Is Primary No

Agent

Name Role
BRAGG, LEV Agent

Member

Name Role Address
BRAGG, LEV Member No data
LEJUENE, H BALTZER Member No data
RODGERS, GRAYSON K Member 2700 10TH AVE S #502BIRMINGHAM, AL 35233

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State