| Name: | Regional Pain MD LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 05 Oct 2011 (13 years ago) |
| Date of dissolution: | 08 Apr 2016 |
| Entity Number: | 000-027-402 |
| Register Number: | 000027402 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 2124 4TH AVE SOUTHBIRMINGHAM, AL 35233 |
| Registered Office Street Address ZIP Code: | 35233 |
Activities
ANY LAWFUL BUSINESS
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790059913 | 2012-03-06 | 2013-12-20 | PO BOX 660257, BIRMINGHAM, AL, 352660257, US | 2124 4TH AVE S, BIRMINGHAM, AL, 352332204, US | |||||||||||||||||||||||||
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| Phone | +1 205-979-5882 |
| Fax | 2059791248 |
| Phone | +1 205-731-9090 |
| Fax | 2057310760 |
Authorized person
| Name | ROY J SAVOIE |
| Role | OWNER |
| Phone | 2057319090 |
Taxonomy
| Taxonomy Code | 207LP2900X - Pain Medicine (Anesthesiology) Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 137689 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| SAVOIE, ROY | Agent | 2124 4TH AVENUE SOUTHBIRMINGHAM, AL 35233 |
| Name | Role | Address |
|---|---|---|
| SAVOIE, ROY | Organizer | 2124 4TH AVENUE SOUTHBIRMINGHAM, AL 35233 |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
