| Name: | EVI Physician Services I, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 31 Jul 2007 (17 years ago) |
| Date of dissolution: | 28 Sep 2012 |
| Entity Number: | 000-498-128 |
| Register Number: | 000498128 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 810 ST VINCENT'S DR POB I 3RD FLBIRMINGHAM, AL 35205 |
| Registered Office Street Address ZIP Code: | 35205 |
| Principal Address: | BIRMNGHAM, AL |
Activities
MEDICAL PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1740458967 | 2008-02-11 | 2009-08-28 | 810 SAINT VINCENTS DR, BIRMINGHAM, AL, 352051601, US | 150 GILBREATH DR, ONEONTA, AL, 351212827, US | |||||||||||||||||||
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| Phone | +1 205-989-4833 |
| Fax | 2058383102 |
| Phone | +1 205-274-3010 |
| Fax | 2052743002 |
Authorized person
| Name | MRS. SUSAN CORNEJO |
| Role | CORPORATE CONTROLLER |
| Phone | 2058383718 |
Taxonomy
| Taxonomy Code | 208M00000X - Hospitalist Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| O'NEIL, JOHN D | Agent |
| Name | Role |
|---|---|
| EASTSIDE VENTURES INC | Member |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
