| Name: | Cardiac CIN of Mobile, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 16 Feb 2018 (7 years ago) |
| Entity Number: | 000-510-311 |
| Register Number: | 000510311 |
| ZIP code: | 36104 |
| County: | Montgomery |
| Place of Formation: | Montgomery County |
| Registered Office Street Address: | 641 SOUTH LAWRENCE STREETMONTGOMERY, AL 36104 |
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | Cardiac CIN of Mobile, LLC, MISSISSIPPI | 1265356 | MISSISSIPPI |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1689173684 | 2018-02-05 | 2020-02-14 | 102 WOODMONT BLVD STE 350, NASHVILLE, TN, 372052216, US | 202C GOVERNMENT ST, MOBILE, AL, 366022614, US | |||||||||||||||||||||||
|
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| Phone | +1 615-386-0064 |
| Fax | 6153860067 |
Authorized person
| Name | EDWARD LELAND HUTTON EADIE |
| Role | DIRECTOR |
| Phone | 6157332064 |
Taxonomy
| Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
| State | AL |
| Is Primary | Yes |
| Taxonomy Code | 207RI0011X - Interventional Cardiology Physician |
| State | AL |
| Is Primary | No |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY INC. | Agent |
| Name | Role |
|---|---|
| EADIE, HUTTON | Organizer |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
