| Name: | Huntsville Lung Associates, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Dissolved |
| Date of registration: | 22 Jan 1985 (40 years ago) |
| Date of dissolution: | 22 Aug 2016 |
| Entity Number: | 000-102-071 |
| Register Number: | 000102071 |
| County: | Madison |
| Place of Formation: | Madison County |
| Principal Address: | HUNTSVILLE, AL |
| Registered Office Street Address: | 20 MADISON STREET SOUTHHUNTSVILLE, AL 35801 |
| Registered Office Street Address ZIP Code: | 35801 |
| Authorized Capital: | $5,000 |
| Paid Share Capital: | $2,000 |
Activities
MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1689745929 | 2006-11-10 | 2020-08-22 | 600 SAINT CLAIR AVE SW, BUILDING 8 SUITE 22, HUNTSVILLE, AL, 358015008, US | 600 SAINT CLAIR AVE SW, BUILDING 8 SUITE 22, HUNTSVILLE, AL, 358015008, US | |||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||
| Phone | +1 256-533-6003 |
Authorized person
| Name | DR. LUTHER FRANKLIN CORLEY III |
| Role | PARTNER |
| Phone | 2565336003 |
Taxonomy
| Taxonomy Code | 207RP1001X - Pulmonary Disease Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLACK LUNG GROUP # |
| Number | 280534 |
| State | AL |
| Issuer | MEDICAID |
| Number | 4401083 |
| State | TN |
| Issuer | UNITED MIND WORKERS GRP # |
| Number | 1350620 |
| State | AL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HUNTSVILLE LUNG ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN | 2017 | 630890882 | 2018-07-19 | HUNTSVILLE LUNG ASSOCIATES, P.C. | 2 | |||||||||||||||||||||
|
||||||||||||||||||||||||||
| HUNTSVILLE LUNG ASSOCIATES, P. C. | 2017 | 630890882 | 2018-07-19 | HUNTSVILLE LUNG ASSOCIATES, P.C. | 1 | |||||||||||||||||||||
|
||||||||||||||||||||||||||
| HUNTSVILLE LUNG ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN | 2016 | 630890882 | 2017-07-26 | HUNTSVILLE LUNG ASSOCIATES, P.C. | 21 | |||||||||||||||||||||
|
||||||||||||||||||||||||||
| Role | Plan administrator |
| Date | 2017-07-26 |
| Name of individual signing | LUTHER F. CORELY III, M.D. |
| Name | Role |
|---|---|
| LEGRAND, PAUL | Agent |
| Name | Role |
|---|---|
| LEGRAND, PAUL | Incorporator |
| SERIO, ROBERT | Incorporator |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 1993-08-05 | Name Merged | No data | Comprehensive Asthma Center of the South, P.C. |
Date of last update: 31 Jul 2024
Sources: Alabama Secretary of State
