| Name: | Birmingham-Shelby Urology, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Merged |
| Date of registration: | 01 Jul 1975 (49 years ago) (Companies founded in July 1975) |
| Entity Number: | 000-038-520 |
| Register Number: | 000038520 |
| Historical Names: |
Patrick L Mills, M.D., P.A.
Birmingham-Shelby Urology, P.A. |
| ZIP code: | 35007 (Companies in Shelby, 35007) |
| County: | Shelby |
| Place of Formation: | Jefferson County |
| Principal Address: | ALABASTER, AL |
| Registered Office Street Address: | 1004 1ST ST N STE 220ALABASTER, AL 35007 |
| Authorized Capital: | $2,000 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467556977 | 2006-09-13 | 2010-02-09 | 1010 1ST ST N, SUITE 200, ALABASTER, AL, 350078608, US | 1010 1ST ST N, SUITE 200, ALABASTER, AL, 350078608, US | |||||||||||||||||||||
|
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| Phone | +1 205-663-1780 |
| Fax | 2056643775 |
Authorized person
| Name | MR. PATRICK LEONARD MILLS JR. |
| Role | PRESIDENT |
| Phone | 2056631780 |
Taxonomy
| Taxonomy Code | 208800000X - Urology Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 529910280 |
| State | AL |
| Name | Role |
|---|---|
| MILLS, PATRICK L | Agent |
| Name | Role |
|---|---|
| MILLS, PATRICK L MD FACS | Incorporator |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 1991-01-03 | Name Change | Birmingham-Shelby Urology, P.A. | Birmingham-Shelby Urology, P.C. |
| 1979-01-18 | Name Change | Patrick L Mills, M.D., P.A. | Birmingham-Shelby Urology, P.A. |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
