| Name: | IMC - Family Medical of Mobile, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Limited Liability Company |
| Status: | Exists |
| Date of registration: | 31 Dec 1986 (38 years ago) |
| Entity Number: | 000-114-677 |
| Register Number: | 000114677 |
| Historical Names: |
Family Medical of Mobile, P.C.
IMC - Family Medical of Mobile, P.C. |
| ZIP code: | 36604 |
| County: | Mobile |
| Place of Formation: | Mobile County |
| Principal Address: | 1700 SPRINGHILL AVENUEMOBILE, AL 36604 |
| Principal Mailing Address: | PO BOX 2226MOBILE, AL 36652 |
| Registered Office Street Address: | 5 MOBILE INFIRMARY CIRCLEMOBILE, AL 36607 |
Activities
TO RENDER PROFESSIONAL MEDICAL SVCS & SERVICES ANCILLARY THERETO
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1952438160 | 2007-02-27 | 2022-05-17 | 5320 HIGHWAY 90 W, SUITE 200, MOBILE, AL, 366194202, US | 5320 HIGHWAY 90 W, SUITE 200, MOBILE, AL, 366194202, US | |||||||||||||||
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| Phone | +1 251-666-8232 |
| Fax | 2516025660 |
Authorized person
| Name | ANTHONY PALLAZZO |
| Role | VICE PRESIDENT OF FINANCE |
| Phone | 2514351360 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| NIX, D M | Agent |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2017-03-24 | Name Change | IMC - Family Medical of Mobile, P.C. | IMC - Family Medical of Mobile, LLC |
| 1990-08-23 | Name Change | Family Medical of Mobile, P.C. | IMC - Family Medical of Mobile, P.C. |
Date of last update: 31 Jul 2024
Sources: Alabama Secretary of State
