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 | |||||||||||||||||||
|
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