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KidsXpress Urgent Care Lakeshore LLC

Details

Name: KidsXpress Urgent Care Lakeshore LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 22 May 2023 (a year ago)
Entity Number: 001-080-560
Register Number: 001080560
County: Jefferson
Place of Formation: Alabama
Registered Office Street Address: 1678 Montgomery Hwy Ste 104 PMB 117Hoover, AL 35216
Registered Office Street Address ZIP Code: 35216
Registered Office Mailing Address: 6307 Letson Farms DrMcCalla, AL 35022
Registered Office Mailing Address ZIP Code: 35022

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1568141588 2023-07-17 2023-07-17 PO BOX 440, COTTONDALE, AL, 354530105, US 2874 LAKESHORE PARKWAY, BIRMINGHAM, AL, 35211, US

Contacts

Phone +1 205-292-2428

Authorized person

Name FELICIA FORTUNE
Role OWNER
Phone 2059142783

Taxonomy

Taxonomy Code 207PP0204X - Pediatric Emergency Medicine (Emergency Medicine) Physician
Is Primary Yes

Agent

Name Role
Fortune, Felicia Agent

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State