| Name: | USA Health HCA Industrial Medicine Clinic, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Non-Profit Ltd. Liability Company |
| Status: | Exists |
| Date of registration: | 24 Feb 2021 (4 years ago) |
| Entity Number: | 000-837-062 |
| Register Number: | 000837062 |
| County: | Mobile |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 2451 University Hospital DriveMobile, AL 36617 |
| Registered Office Street Address ZIP Code: | 36617 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1548863210 | 2020-11-17 | 2021-10-28 | 3929-1 AIRPORT BLVD, 5TH FLOOR, ROOM 513, MOBILE, AL, 36609, US | 1976 MICHIGAN AVE, MOBILE, AL, 366151114, US | |||||||||||||||||||
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| Phone | +1 251-318-2681 |
| Fax | 2513786222 |
| Phone | +1 251-660-5910 |
| Fax | 2516605911 |
Authorized person
| Name | ERICA MADISON |
| Role | CREDENTIALING |
| Phone | 2513182681 |
Taxonomy
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| Grete, William | Agent |
Date of last update: 16 Aug 2024
Sources: Alabama Secretary of State
