| Name: | American Sports Medicine Institute, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Non-Profit Corporation |
| Status: | Exists |
| Date of registration: | 18 Feb 1987 (38 years ago) (Companies founded in February 1987) |
| Entity Number: | 000-065-347 |
| Register Number: | 000065347 |
| ZIP code: | 36104 (Companies in Montgomery, 36104) |
| County: | Montgomery |
| Place of Formation: | Jefferson County |
| Principal Address: | BIRMINGHAM, AL |
| Registered Office Street Address: | 641 SOUTH LAWRENCE STREETMONTGOMERY, AL 36104 |
Activities
RELIGIOUS CHARITABLE ETC
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790875763 | 2006-10-13 | 2020-08-22 | 2660 10TH AVE S, SUITE 505, BIRMINGHAM, AL, 352051605, US | 2660 10TH AVE S, SUITE 505, BIRMINGHAM, AL, 352051605, US | |||||||||||||||||||||
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| Phone | +1 205-918-0000 |
| Fax | 2059182177 |
Authorized person
| Name | SUSAN MCWHORTER |
| Role | DIRECTOR OF ADMINISTRATION |
| Phone | 2059182135 |
Taxonomy
| Taxonomy Code | 261QR1100X - Research Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS AL PROVIDER NUMBER |
| Number | 515-25052 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| CORPORATION SERVICE COMPANY INC | Agent | 251 LITTLE FALLS DRIVEWILMINGTON, DE 19808 |
| Name | Role |
|---|---|
| ANDREWS, JAMES R DR | Incorporator |
Date of last update: 31 Jul 2024
Sources: Alabama Secretary of State
