| Name: | Alabama Spine & Rehabilitation Center, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 17 Jun 2011 (13 years ago) |
| Entity Number: | 000-016-778 |
| Register Number: | 000016778 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 6 OFFICE PARK CIRCLE STE 206MOUNTAIN BROOK, AL 35223 |
| Registered Office Street Address ZIP Code: | 35223 |
Activities
PROVIDE REHABILITATION SERVICES FOR INJURED PATIENTS
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1689969156 | 2011-06-13 | 2013-02-25 | 2017 CANYON RD, SUITE 21, VESTAVIA, AL, 352161900, US | 2017 CANYON RD, SUITE 21, VESTAVIA, AL, 352161900, US | |||||||||||||||||||
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| Phone | +1 205-822-8320 |
| Fax | 2058228323 |
Authorized person
| Name | DR. THOMAS G SPURLOCK |
| Role | OWNER/PRESIDENT |
| Phone | 2058228320 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | RR MEDICARE |
| Number | DR9703 |
| Name | Role | Address |
|---|---|---|
| SPURLOCK, THOMAS G | Agent | 6 OFFICE PARK CIRCLE STE 206MOUNTAIN BROOK, AL 35223 |
| Name | Role | Address |
|---|---|---|
| SPURLOCK, THOMAS G | Organizer | 6 OFFICE PARK CIRCLE STE 206MOUNTAIN BROOK, AL 35223 |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
