| Name: | Northeast Alabama Urology Center, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Dissolved |
| Date of registration: | 27 May 1986 (38 years ago) |
| Date of dissolution: | 22 Dec 2020 |
| Entity Number: | 000-110-744 |
| Register Number: | 000110744 |
| County: | Calhoun |
| Place of Formation: | Calhoun County |
| Principal Address: | JACKSONVILLE, AL |
| Registered Office Street Address: | JACKSONVILLE MEDICAL CENTERJACKSONVILLE, AL 36265 |
| Registered Office Street Address ZIP Code: | 36265 |
| Authorized Capital: | $10,000 |
| Paid Share Capital: | $1,000 |
Activities
UROLOGY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841420049 | 2009-07-22 | 2009-10-29 | PO BOX 339, JACKSONVILLE, AL, 362650339, US | 201 HENRY RD SW, JACKSONVILLE, AL, 362653324, US | |||||||||||||||||||
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| Phone | +1 256-435-1871 |
| Fax | 2564355703 |
Authorized person
| Name | MR. LAWRENCE STANLEY ROSEN |
| Role | DIRECTOR |
| Phone | 2564351871 |
Taxonomy
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| License Number | 12000 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| ROSEN, LAWRENCE S | Agent |
| Name | Role |
|---|---|
| ROSEN, LAWRENCE S | Incorporator |
Date of last update: 31 Jul 2024
Sources: Alabama Secretary of State
