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Lakeside Emergency Group, L.L.C.

Details

Name: Lakeside Emergency Group, L.L.C.
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 09 Apr 2007 (18 years ago) (Companies founded in April 2007)
Date of dissolution: 02 Nov 2010
Entity Number: 000-492-955
Register Number: 000492955
ZIP code: 36104 (Companies in Montgomery, 36104)
County: Montgomery
Place of Formation: Montgomery County
Registered Office Street Address: 2 NORTH JACKSON ST., SUITE 605MONTGOMERY, AL 36104

Activities ANY LAWFUL ACTIVITY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1407068307 2007-05-04 2020-08-22 200 CORPORATE BLVD, SUITE 201, LAFAYETTE, LA, 70508, US 1330 HIGHWAY 231 S, TROY, AL, 36081, US

Contacts

Phone +1 800-893-9698
Phone +1 334-670-5000

Authorized person

Name DR. WILLIAM CLIFF SCHUMACHER
Role CEO
Phone 8008939698

Taxonomy

Taxonomy Code 207P00000X - Emergency Medicine Physician
Is Primary No
Taxonomy Code 363AM0700X - Medical Physician Assistant
Is Primary No
Taxonomy Code 363L00000X - Nurse Practitioner
Is Primary No

Agent

Name Role Address
C T CORPORATION SYSTEM Agent 2 NORHT JACKSON STREET SUITE 605MONTGOMERY, AL 36104

Member

Name Role
SCHUMACHER MEDICAL CORPORATION OF ALABAMA INC Member

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State