| Name: | RPB Anesthesia LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 03 Dec 2018 (6 years ago) |
| Entity Number: | 000-536-397 |
| Register Number: | 000536397 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 1317 4TH AVENUE SOUTHBIRMINGHAM, AL 35233 |
| Registered Office Street Address ZIP Code: | 35233 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1851865984 | 2019-01-11 | 2019-01-11 | 1317 4TH AVE S, BIRMINGHAM, AL, 352331408, US | 1317 4TH AVE S, BIRMINGHAM, AL, 352331408, US | |||||||||||||||||||
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| Phone | +1 225-923-0030 |
| Fax | 2259230060 |
Authorized person
| Name | MICHELLE MCNEILL |
| Role | CREDENTIALING COORDINATOR |
| Phone | 2259230030 |
Taxonomy
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| Is Primary | Yes |
| Taxonomy Code | 367500000X - Certified Registered Nurse Anesthetist |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| PARKER, MARK A | Agent | 2190 ALLISON BONNETT MEM D STE106200HUEYTOWN, AL 35023 |
| Name | Role | Address |
|---|---|---|
| MIXON, GREGORY K | Organizer | TWO PERIMETER PARK S STE 550EBIRMINGHAM, AL 35243 |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
