| Name: | Landmark Medical of Tennessee, PC |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Professional Corporation |
| Status: | Exists |
| Date of registration: | 23 Nov 2021 (3 years ago) |
| Entity Number: | 001-054-490 |
| Register Number: | 001054490 |
| County: | Montgomery |
| Place of Formation: | Tennessee |
| Principal Address: | 7755 CENTER AVE. SUITE 700HUNTINGTON BEACH, CA 92647 |
| Registered Office Street Address: | 2 NORTH JACKSON STREET, SUITE 605MONTGOMERY, AL 36104 |
| Registered Office Street Address ZIP Code: | 36104 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912622473 | 2022-10-07 | 2022-10-07 | 7755 CENTER AVE STE 630, HUNTINGTON BEACH, CA, 926479152, US | 420 20TH ST N STE 2200, BIRMINGHAM, AL, 352033261, US | |||||||||||||
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| Phone | +1 657-400-5180 |
Authorized person
| Name | MICHAEL HUY LE |
| Role | CHIEF MEDICAL OFFICER |
| Phone | 6574005180 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| C T CORPORATION SYSTEM | Agent | 2 NORHT JACKSON STREET SUITE 605MONTGOMERY, AL 36104 |
Date of last update: 17 Aug 2024
Sources: Alabama Secretary of State
