| Name: | Urological Associates of Dothan, P.A. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Association |
| Status: | Dissolved |
| Date of registration: | 28 Apr 1970 (55 years ago) (Companies founded in April 1970) |
| Date of dissolution: | 11 Mar 2020 |
| Entity Number: | 000-019-195 |
| Register Number: | 000019195 |
| ZIP code: | 36301 (Companies in Houston, 36301) |
| County: | Houston |
| Place of Formation: | Houston County |
| Principal Address: | 1118 ROSS CLARK CIRCLE STE 500DOTHAN, AL 36301 |
| Registered Office Street Address: | 1118 ROSS CLARK CIRCLEDOTHAN, AL 36301 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1245202944 | 2006-02-06 | 2020-08-22 | 1118 ROSS CLARK CIR, SUITE 500, DOTHAN, AL, 363013001, US | 1118 ROSS CLARK CIR, SUITE 500, DOTHAN, AL, 363013001, US | |||||||||||||||
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| Phone | +1 334-794-4159 |
| Fax | 3347927019 |
Authorized person
| Name | SANDRA SHIPMAN |
| Role | OFFICE ADMINISTRATOR |
| Phone | 3347944159 |
Taxonomy
| Taxonomy Code | 208800000X - Urology Physician |
| Is Primary | Yes |
| CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 6FJ50 | Cancelled Without Replacement | Non-Manufacturer | 2011-06-28 | 2020-11-16 | 2020-11-16 | No data | |||||||||||||||
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| POC | JOYCE RILEY |
| Phone | +1 334-794-4159 |
| Fax | +1 334-792-7019 |
| Address | 1118 ROSS CLARK CIR STE 500, DOTHAN, HOUSTON, AL, 36301 3030, UNITED STATES |
Ownership of Offeror Information
| Highest Level Owner | Information not Available |
|---|
| Immediate Level Owner | Information not Available |
|---|
| List of Offerors (0) | Information not Available |
|---|
| Name | Role |
|---|---|
| VUKOVICH, JONATHAN | Agent |
| Name | Role | Address |
|---|---|---|
| CLEMENTS, JOSEPH | Member | 1118 ROSS CLARK CIRCLE STE 500DOTHAN, AL 36301 |
| PEACOCK, JOHN | Member | 1118 ROSS CLARK CIRCLE STE 500DOTHAN, AL 36301 |
| VUKOVICH, JOHN | Member | 1118 ROSS CLARK CIRCLE STE 500DOTHAN, AL 36301 |
| SCHUYLER, ROB | Member | 1118 ROSS CLARK CIRCLE STE 500DOTHAN, AL 36301 |
| PHILLIPS, JASON | Member | 116 GRACE BROOK CIRCLEMERIDIANVILLE, AL 35759 |
| WILLIAMS, BRYANT | Member | 1118 ROSS CLARK CIRCLE STE 500DOTHAN, AL 36301 |
| Contract Type | Award or IDV Flag | PIID | Start Date | Current End Date | Potential End Date | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PO | AWARD | DJBP0308LB230763 | 2012-05-14 | 2012-05-14 | 2012-09-30 | |||||||||||||||||||||
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| Title | IGF::OT::IGF MEDICAL SERVICES |
| NAICS Code | 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS) |
| Product and Service Codes | Q525: MEDICAL- UROLOGY |
Recipient Details
| Recipient | UROLOGICAL ASSOCIATES OF DOTHAN P A |
| UEI | J9FJEDJE8EX5 |
| Legacy DUNS | 082058520 |
| Recipient Address | UNITED STATES, 1118 ROSS CLARK CIR STE 500, DOTHAN, 363013030 |
| Unique Award Key | CONT_AWD_DJBP0308LVB230401_1540_-NONE-_-NONE- |
| Awarding Agency | Department of Justice |
| Link | View Page |
Description
| Title | MEDICAL SERVICES |
| NAICS Code | 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS) |
| Product and Service Codes | Q525: MEDICAL- UROLOGY |
Recipient Details
| Recipient | UROLOGICAL ASSOCIATES OF DOTHAN P A |
| UEI | J9FJEDJE8EX5 |
| Legacy DUNS | 082058520 |
| Recipient Address | UNITED STATES, 1118 ROSS CLARK CIR STE 500, DOTHAN, 363013030 |
| Unique Award Key | CONT_AWD_DJBMNAJB230147_1540_-NONE-_-NONE- |
| Awarding Agency | Department of Justice |
| Link | View Page |
Description
| Title | UROLOGICAL SERVICES |
| NAICS Code | 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS) |
| Product and Service Codes | Q525: UROLOGY SERVICES |
Recipient Details
| Recipient | UROLOGICAL ASSOCIATES OF DOTHAN P A |
| UEI | J9FJEDJE8EX5 |
| Legacy DUNS | 082058520 |
| Recipient Address | UNITED STATES, 1118 ROSS CLARK CIR # 500, DOTHAN, 363013030 |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
