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Edge Medical Consulting LLC

Details

Name: Edge Medical Consulting LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 10 May 2018 (7 years ago)
Date of dissolution: 22 Feb 2022
Entity Number: 000-518-432
Register Number: 000518432
ZIP code: 35209
County: Jefferson
Place of Formation: Jefferson County
Registered Office Street Address: 231 LUCERNE BLVDHOMEWOOD, AL 35209

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1528552734 2018-06-20 2018-06-20 231 LUCERNE BLVD, HOMEWOOD, AL, 352096613, US 3800 RIDGEWAY DR, BIRMINGHAM, AL, 352095506, US

Contacts

Phone +1 205-587-2974
Fax 2058741606
Phone +1 205-868-2000

Authorized person

Name KIMBERLEY G EDGE
Role OWNER/PHYSICIAN
Phone 2055872974

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes

Agent

Name Role Address
EDGE, KIMBERLEY Agent 231 LUCERNE BLVDHOMEWOOD, AL 35209

Organizer

Name Role Address
EDGE, KIMBERLEY Organizer 231 LUCERNE BLVDHOMEWOOD, AL 35209

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State