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