| Name: | Midtown Medical Mobile LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 21 Mar 2024 (8 months ago) |
| Entity Number: | 001-127-638 |
| Register Number: | 001127638 |
| County: | Mobile |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 7859 Celeste Rd.Saraland, AL 36571 |
| Registered Office Street Address ZIP Code: | 36571 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1851147045 | 2024-04-29 | 2024-07-10 | 2055 AIRPORT BLVD, MOBILE, AL, 366061701, US | 2055 AIRPORT BLVD, MOBILE, AL, 366061701, US | |||||||||||||||||||||||||
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| Phone | +1 251-234-1625 |
Authorized person
| Name | DR. ATHIRA NAIR |
| Role | CEO, OWNER, MEDICAL DIRECTOR |
| Phone | 2512341625 |
Taxonomy
| Taxonomy Code | 207P00000X - Emergency Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 2080P0202X - Pediatric Cardiology Physician |
| Is Primary | No |
| Taxonomy Code | 2084N0400X - Neurology Physician |
| Is Primary | No |
| Name | Role |
|---|---|
| Mobile Holistic Wellness LLC | Agent |
Date of last update: 18 Aug 2024
Sources: Alabama Secretary of State
