Name: | Spine Group Alabama, LLC |
Jurisdiction: | Alabama |
Legal type: | Domestic Limited Liability Company |
Status: | Exists |
Date of registration: | 09 Jul 2018 (6 years ago) (Companies founded in July 2018) |
Entity Number: | 000-523-789 |
Register Number: | 000523789 |
ZIP code: | 35209 (Companies in Jefferson, 35209) |
County: | Jefferson |
Place of Formation: | Jefferson County |
Registered Office Street Address: | 10 OLD MONTGOMERY HIGHWAY, SUITE 200HOMEWOOD, AL 35209 |
Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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F63ZM4ZKNHB4 | 2024-12-19 | 10 OLD MONTGOMERY HWY STE 200, HOMEWOOD, AL, 35209, 6797, USA | 10 OLD MONTGOMERY HWY, STE 200, BIRMINGHAM, AL, 35209, 6797, USA | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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URL | https://spinegroupalabama.com/ |
Congressional District | 07 |
State/Country of Incorporation | AL, USA |
Activation Date | 2023-12-21 |
Initial Registration Date | 2023-12-19 |
Entity Start Date | 2018-12-10 |
Fiscal Year End Close Date | Dec 31 |
Points of Contacts
Electronic Business | |
---|---|
Title | PRIMARY POC |
Name | TIFFANY WESTBROOK |
Role | BILLING |
Address | 10 OLD MONTGOMERY HWY, BIRMINGHAM, AL, 35209, USA |
Title | ALTERNATE POC |
Name | LYNN LAWSON |
Role | BILLING |
Address | 10 OLD MONTGOMERY HWY, BIRMINGHAM, AL, 35209, USA |
Government Business | |
---|---|
Title | PRIMARY POC |
Name | TIFFANY WESTBROOK |
Role | BILLING |
Address | 10 OLD MONTGOMERY HWY, BIRMINGHAM, AL, 35209, USA |
Title | ALTERNATE POC |
Name | HARVEY E TORMAN |
Role | PRACTICE ADMIN |
Address | 10 OLD MONTGOMERY HWY, BIRMINGHAM, AL, 35209, USA |
Past Performance | Information not Available |
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NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1891276788 | 2018-08-28 | 2019-05-23 | 10 OLD MONTGOMERY HWY STE 200, BIRMINGHAM, AL, 352096797, US | 10 OLD MONTGOMERY HWY STE 200, BIRMINGHAM, AL, 352096797, US | |||||||||||||||
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Phone | +1 205-271-6504 |
Fax | 2052716513 |
Authorized person
Name | MARK JAMES DOWNEY |
Role | OWNER |
Phone | 2052716504 |
Taxonomy
Taxonomy Code | 208100000X - Physical Medicine & Rehabilitation Physician |
Is Primary | Yes |
Name | Role |
---|---|
DOWNEY, MARK J | Agent |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State