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North Jefferson Imaging, LLC

Details

Name: North Jefferson Imaging, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 11 Oct 2005 (19 years ago)
Entity Number: 000-470-278
Register Number: 000470278
County: Jefferson
Place of Formation: Jefferson County
Principal Address: GARDENDALE, AL
Registered Office Street Address: 2233 DECATUR HIGHWAY STE 108GARDENDALE, AL 35071
Registered Office Street Address ZIP Code: 35071

Activities MEDICAL PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1467490920 2006-06-04 2020-08-22 2000A SOUTHBRIDGE PKWY, STE 300, BIRMINGHAM, AL, 352097704, US 2217 DECATUR HWY, SUITE 115, GARDENDALE, AL, 350712301, US

Contacts

Phone +1 205-871-4274
Fax 2058714301
Phone +1 205-418-1280
Fax 2054181281

Authorized person

Name CHARLES MICHAEL MEAD
Role PRESIDENT
Phone 2054181280

Taxonomy

Taxonomy Code 2085R0202X - Diagnostic Radiology Physician
Is Primary Yes

Agent

Name Role
MEAD, C MICHAEL Agent

Member

Name Role
MEAD, C MICHAEL Member

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State