| Name: | Champion Sports Medicine Birmingham, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Limited Liability Company |
| Status: | Exists |
| Date of registration: | 22 Jul 2021 (3 years ago) |
| Entity Number: | 000-946-890 |
| Register Number: | 000946890 |
| County: | Montgomery |
| Place of Formation: | Delaware |
| Principal Address: | 4714 Gettysburg RdMechanicsburg, PA 17055 |
| Registered Office Street Address: | 2 N. Jackson St, Suite 605Montgomery, AL 36104 |
| Registered Office Street Address ZIP Code: | 36104 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932865763 | 2021-11-16 | 2022-07-15 | 4714 GETTYSBURG RD, MECHANICSBURG, PA, 170554325, US | 5000 CAHABA RIVER RD, VESTAVIA, AL, 352432317, US | |||||||||||||||||
|
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| Phone | +1 717-972-1100 |
Authorized person
| Name | MICHAEL E TARVIN |
| Role | VICE PRESIDENT |
| Phone | 7179721100 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 261QR0400X - Rehabilitation Clinic/Center |
| Is Primary | No |
| Name | Role |
|---|---|
| C T Corporation System | Agent |
Date of last update: 17 Aug 2024
Sources: Alabama Secretary of State
