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Ross Bridge Medical Center Pediatrics LLC

Details

Name: Ross Bridge Medical Center Pediatrics LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 06 Sep 2018 (6 years ago) (Companies founded in September 2018)
Entity Number: 000-529-337
Register Number: 000529337
ZIP code: 35223 (Companies in Jefferson, 35223)
County: Jefferson
Place of Formation: Shelby County
Principal Address: 3748 DOVER DRMOUNTAIN BROOK, AL 35223

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1124590468 2018-12-27 2018-12-27 7118 LAKE RUN CIR, VESTAVIA, AL, 352427500, US 3635 MARKET ST STE B, BIRMINGHAM, AL, 352266391, US

Contacts

Phone +1 813-416-6438
Phone +1 205-494-7337

Authorized person

Name PURVI SHAH
Role CEO
Phone 2054947337

Taxonomy

Taxonomy Code 261QM1300X - Multi-Specialty Clinic/Center
Is Primary Yes

Agent

Name Role Address
SHAH, PURVI Agent 7118 LAKE RUN CIRCLEVESTAVIA HILLS, AL 35242

Organizer

Name Role Address
LUNA, NANCY Organizer 10601 CLARENCE DR. #250FRISCO, TX 75033

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State