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Cardiac CIN of Mobile, LLC

Details

Name: Cardiac CIN of Mobile, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 16 Feb 2018 (7 years ago) (Companies founded in February 2018)
Entity Number: 000-510-311
Register Number: 000510311
ZIP code: 36104 (Companies in Montgomery, 36104)
County: Montgomery
Place of Formation: Montgomery County
Registered Office Street Address: 641 SOUTH LAWRENCE STREETMONTGOMERY, AL 36104

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1689173684 2018-02-05 2020-02-14 102 WOODMONT BLVD STE 350, NASHVILLE, TN, 372052216, US 202C GOVERNMENT ST, MOBILE, AL, 366022614, US

Contacts

Phone +1 615-386-0064
Fax 6153860067

Authorized person

Name EDWARD LELAND HUTTON EADIE
Role DIRECTOR
Phone 6157332064

Taxonomy

Taxonomy Code 207RC0000X - Cardiovascular Disease Physician
State AL
Is Primary Yes
Taxonomy Code 207RI0011X - Interventional Cardiology Physician
State AL
Is Primary No

Agent

Name Role
CORPORATION SERVICE COMPANY INC. Agent

Organizer

Name Role
EADIE, HUTTON Organizer

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State