| Name: | St. Vincent's Cardiology-Blount, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 28 Oct 2010 (14 years ago) |
| Date of dissolution: | 09 Dec 2016 |
| Entity Number: | 000-303-519 |
| Register Number: | 000303519 |
| ZIP code: | 35205 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Principal Address: | BIRMINGHAM, AL |
| Registered Office Street Address: | 810 ST VINCENT'S DR THIRD FL POB IBIRMINGHAM, AL 35205 |
Activities
PHYSICIAN CARDIOLOGY SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1881995520 | 2010-11-11 | 2017-09-06 | 2700 10TH AVE S, SUITE 305, BIRMINGHAM, AL, 352051200, US | 150 GILBREATH DR, SUITE B-100, ONEONTA, AL, 351212827, US | |||||||||||||||||||||
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| Phone | +1 205-939-0139 |
| Phone | +1 205-274-3353 |
| Fax | 2052743354 |
Authorized person
| Name | BRANDON WILLIAMS |
| Role | CFO |
| Phone | 2052743004 |
Taxonomy
| Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
| License Number | DO-34 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| O'NEIL, JOHN D | Agent |
| Name | Role |
|---|---|
| UNIVERSAL HEALTH SERVICES | Member |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
