| Name: | Vascular Surgery Associates, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Dissolved |
| Date of registration: | 29 Oct 1986 (38 years ago) |
| Date of dissolution: | 29 Dec 2022 |
| Entity Number: | 000-113-549 |
| Register Number: | 000113549 |
| Historical Names: |
Rick M. Roberts, M.D., P.C.
|
| County: | Madison |
| Place of Formation: | Madison County |
| Principal Address: | HUNTSVILLE, AL |
| Registered Office Street Address: | 2337 WHITESBURG DRHUNTSVILLE, AL 35801 |
| Registered Office Street Address ZIP Code: | 35801 |
| Authorized Capital: | $1,000 |
| Paid Share Capital: | $1,000 |
Activities
PHYSICIAN
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1902832447 | 2006-06-25 | 2008-04-08 | 201 SIVLEY RD SW, STE 305, HUNTSVILLE, AL, 358015134, US | 201 SIVLEY RD SW, SUITE 305, HUNTSVILLE, AL, 35801, US | |||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||
| Phone | +1 256-536-9000 |
| Fax | 2562656912 |
Authorized person
| Name | MR. RICK M ROBERTS |
| Role | OWNER |
| Phone | 2565369000 |
Taxonomy
| Taxonomy Code | 305R00000X - Preferred Provider Organization |
| License Number | 094320 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | UPIN |
| Number | G73080 |
| State | AL |
| Issuer | UPIN |
| Number | H42548 |
| State | AL |
| Issuer | UPIN |
| Number | C70970 |
| State | AL |
| Name | Role |
|---|---|
| ROBERTS, RICK M MD | Agent |
| Name | Role |
|---|---|
| ROBERTS, RICK M MD | Incorporator |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2001-08-01 | Name Change | Rick M. Roberts, M.D., P.C. | Vascular Surgery Associates, P.C. |
Date of last update: 31 Jul 2024
Sources: Alabama Secretary of State
