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Neurology Clinic, P.C.

Details

Name: Neurology Clinic, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Dissolved
Date of registration: 10 Jun 1983 (41 years ago)
Date of dissolution: 10 Feb 2020
Entity Number: 000-092-512
Register Number: 000092512
County: Tuscaloosa
Place of Formation: Tuscaloosa County
Registered Office Street Address: 607 10TH STREET EAST STE ETUSCALOOSA, AL 35401
Registered Office Street Address ZIP Code: 35401
Authorized Capital: $1,000

Activities MEDICINE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1003982208 2006-11-28 2020-08-22 1325 MCFARLAND BLVD, SUITE 201, NORTHPORT, AL, 354763270, US 1325 MCFARLAND BLVD, SUITE 201, NORTHPORT, AL, 354763270, US

Contacts
Phone +1 205-333-2626
Fax 2053338718

Authorized person
Name MRS. TENESHIA K DAVIS
Role ADMINISTRATIVE ASSISTANT
Phone 2053332626

Taxonomy
Taxonomy Code 174400000X - Specialist
License Number 8700
State AL
Is Primary Yes

Other Provider Identifiers
Issuer BCBS
Number 510-11377
State AL

Agent

Name Role
TODOROV, ALEXANDRE V MD Agent

Incorporator

Name Role
TODOROV, ALEXANDRE B Incorporator

Awards

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
BPA AWARD 9903 2012-09-30 2012-09-30 2012-09-30
Unique Award Key CONT_AWD_9903_2800_SS10541140158_2800
Awarding Agency Social Security Administration
Link View Page

Description
Title ME EXPRESS REPORTING - MENTAL HEALTH IGF::CT::IGF
NAICS Code 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product and Service Codes R424: SUPPORT- PROFESSIONAL: EXPERT WITNESS

Recipient Details
Recipient NEUROLOGY CLINIC PC
UEI RU6CQEYJK2N3
Legacy DUNS 792340176
Recipient Address UNITED STATES, 1325 MCFARLAND BLVD STE 202, NORTHPORT, 354763275
BPA AWARD 9904 2012-09-30 2012-09-30 2012-09-30
Unique Award Key CONT_AWD_9904_2800_SS10541140158_2800
Awarding Agency Social Security Administration
Link View Page

Description
Title ME EXPRESS REPORTING - MENTAL HEALTH IGF::CT::IGF
NAICS Code 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product and Service Codes R424: SUPPORT- PROFESSIONAL: EXPERT WITNESS

Recipient Details
Recipient NEUROLOGY CLINIC PC
UEI RU6CQEYJK2N3
Legacy DUNS 792340176
Recipient Address UNITED STATES, 1325 MCFARLAND BLVD STE 202, NORTHPORT, 354763275
BPA AWARD 9902 2012-09-30 2012-09-30 2012-09-30
Unique Award Key CONT_AWD_9902_2800_SS10541140158_2800
Awarding Agency Social Security Administration
Link View Page

Description
Title ME EXPRESS REPORTING - MENTAL HEALTH IGF::CT::IGF
NAICS Code 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product and Service Codes R424: SUPPORT- PROFESSIONAL: EXPERT WITNESS

Recipient Details
Recipient NEUROLOGY CLINIC PC
UEI RU6CQEYJK2N3
Legacy DUNS 792340176
Recipient Address UNITED STATES, 1325 MCFARLAND BLVD STE 202, NORTHPORT, 354763275
BPA AWARD 0001 2011-09-30 2011-09-30 2011-09-30
Unique Award Key CONT_AWD_0001_2800_SS10541140158_2800
Awarding Agency Social Security Administration
Link View Page

Description
Title ME/VE/VHR EXPRESS REPORTING
NAICS Code 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product and Service Codes R424: EXPERT WITNESS

Recipient Details
Recipient NEUROLOGY CLINIC PC
UEI RU6CQEYJK2N3
Legacy DUNS 792340176
Recipient Address UNITED STATES, 1325 MCFARLAND BLVD STE 202, NORTHPORT, 354763275
No data IDV SS10541140158 2011-09-30 No data No data
Unique Award Key CONT_IDV_SS10541140158_2800
Awarding Agency Social Security Administration
Link View Page

Description
Title ME/VE/VHR EXPRESS REPORTING
NAICS Code 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product and Service Codes R424: EXPERT WITNESS

Recipient Details
Recipient NEUROLOGY CLINIC PC
UEI RU6CQEYJK2N3
Legacy DUNS 792340176
Recipient Address UNITED STATES, 1325 MCFARLAND BLVD STE 202, NORTHPORT, 354763275

Related by officers

TODOROV, ALEXANDRE B

Neurodiagnostic Center, Inc.

Related by address

No related companies by address

Date of last update: 31 Jul 2024

Sources: Alabama Secretary of State

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