| Name: | ENT Imaging, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 21 Jun 2005 (19 years ago) |
| Entity Number: | 000-465-852 |
| Register Number: | 000465852 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Principal Address: | BIRMINGHAM, AL |
| Registered Office Street Address: | 2700 10TH AVE SOUTH STE 502BIRMINGHAM, AL 35205 |
| Registered Office Street Address ZIP Code: | 35205 |
Activities
LEASING IMAGING EQUIPMENT
| 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 | |||||||||||||||||||||||||||
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| 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 |
| Name | Role |
|---|---|
| BRAGG, LEV | Agent |
| 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
