| Name: | Birmingham Internal Medicine Associates, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 22 Mar 2000 (25 years ago) |
| Entity Number: | 000-208-761 |
| Register Number: | 000208761 |
| Historical Names: |
Birmingham Internal Medicine Associates, P.C.
Birmingham Internal Medicine Associates, Inc. |
| ZIP code: | 35242 |
| County: | Shelby |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 7191 CAHABA VALLEY ROAD STE 300BIRMINGHAM, AL 35242 |
| Principal Address: | 7191 CAHABA VALLEY RD STE 300BIRMINGHAM, AL 35242 |
Activities
PRACTICE MEDICINE SPECIFICALLY INTERNAL MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386378164 | 2022-07-15 | 2022-07-15 | 832 PRINCETON AVE SW, BIRMINGHAM, AL, 352111320, US | 832 PRINCETON AVE SW, BIRMINGHAM, AL, 352111320, US | |||||||||||||
|
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| Phone | +1 205-780-7053 |
Authorized person
| Name | ROBIN CAMPBELL |
| Role | DIRECTOR, ENTERPRISE REVENUE CYCLE |
| Phone | 2059959909 |
Taxonomy
| Taxonomy Code | 332900000X - Non-Pharmacy Dispensing Site |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| C T CORPORATION SYSTEM | Agent | 2 NORHT JACKSON STREET SUITE 605MONTGOMERY, AL 36104 |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2019-10-09 | Name Change | Birmingham Internal Medicine Associates, Inc. | Birmingham Internal Medicine Associates, LLC |
| 2019-08-29 | Name Change | Birmingham Internal Medicine Associates, P.C. | Birmingham Internal Medicine Associates, Inc. |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
