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
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 | |||||||||||||||||||
|
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 |
Name | Role |
---|---|
MEAD, C MICHAEL | Agent |
Name | Role |
---|---|
MEAD, C MICHAEL | Member |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State