Name: | Dermatopathology Services, Inc. |
Jurisdiction: | Alabama |
Legal type: | Domestic Corporation |
Status: | Merged |
Date of registration: | 30 Sep 1988 (36 years ago) (Companies founded in September 1988) |
Entity Number: | 000-126-827 |
Register Number: | 000126827 |
Historical Names: |
Dermatopathology Services, P.C.
|
ZIP code: | 36104 (Companies in Montgomery, 36104) |
County: | Montgomery |
Place of Formation: | Jefferson County |
Principal Address: | MONTGOMERY, AL |
Registered Office Street Address: | 150 S PERRY STMONTGOMERY, AL 36104 |
Authorized Capital: | $10,000 |
Activities
PERFORM DIAGNOSTIC LAB SERVICES
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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1104898873 | 2006-02-06 | 2015-04-24 | 14275 MIDWAY RD, SUITE 400, ADDISON, TX, 750013614, US | 3918 MONTCLAIR RD, SUITE 100, BIRMINGHAM, AL, 352132417, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Phone | +1 214-932-8029 |
Fax | 6102714245 |
Phone | +1 205-870-4897 |
Fax | 2058714709 |
Authorized person
Name | DR. EDWARD M KRAMER |
Role | VICE PRESIDENT |
Phone | 6105503000 |
Taxonomy
Taxonomy Code | 291U00000X - Clinical Medical Laboratory |
License Number | 01D0641513 |
State | AL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 1507087 |
State | TN |
Issuer | BCBS |
Number | 56306 |
State | AL |
Issuer | MEDICAID |
Number | 7001200 |
State | NC |
Issuer | MEDICAID |
Number | 000056306 |
State | AL |
Issuer | MEDICAID |
Number | 03884230 |
State | MS |
Issuer | MEDICAID |
Number | 547254876A |
State | GA |
Issuer | MEDICAID |
Number | 1015385 |
State | LA |
CIK number | Mailing Address | Business Address | Phone | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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1229540 | 7289 GARDEN ROAD SUITE 200, RIVIERA BEACH, FL, 33404 | 7289 GARDEN ROAD SUITE 200, RIVIERA BEACH, FL, 33404 | 5617126211 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Form type | 424B2 |
File number | 333-167603-23 |
Filing date | 2011-03-23 |
File | View File |
Filings since 2011-03-21
Form type | 424B3 |
File number | 333-167603-23 |
Filing date | 2011-03-21 |
File | View File |
Filings since 2011-02-07
Form type | POSASR |
File number | 333-167603-23 |
Filing date | 2011-02-07 |
File | View File |
Filings since 2010-06-17
Form type | S-3ASR |
File number | 333-167603-23 |
Filing date | 2010-06-17 |
File | View File |
Filings since 2009-11-16
Form type | 424B2 |
File number | 333-143867-52 |
Filing date | 2009-11-16 |
File | View File |
Filings since 2009-11-12
Form type | 424B3 |
File number | 333-143867-52 |
Filing date | 2009-11-12 |
File | View File |
Filings since 2009-11-12
Form type | POSASR |
File number | 333-143867-52 |
Filing date | 2009-11-12 |
File | View File |
Filings since 2007-06-21
Form type | 424B2 |
File number | 333-143867-52 |
Filing date | 2007-06-21 |
File | View File |
Filings since 2007-06-19
Form type | 424B3 |
File number | 333-143867-52 |
Filing date | 2007-06-19 |
File | View File |
Filings since 2007-06-19
Form type | S-3ASR |
File number | 333-143867-52 |
Filing date | 2007-06-19 |
File | View File |
Filings since 2004-04-23
Form type | 424B3 |
File number | 333-114470-35 |
Filing date | 2004-04-23 |
File | View File |
Filings since 2004-04-14
Form type | S-4 |
File number | 333-114470-35 |
Filing date | 2004-04-14 |
File | View File |
Filings since 2003-05-30
Form type | 424B3 |
File number | 333-104874-65 |
Filing date | 2003-05-30 |
File | View File |
Filings since 2003-05-30
Form type | S-4/A |
File number | 333-104874-65 |
Filing date | 2003-05-30 |
File | View File |
Filings since 2003-04-30
Form type | S-4 |
File number | 333-104874-65 |
Filing date | 2003-04-30 |
File | View File |
Name | Role | Address |
---|---|---|
CSC LAWYERS INCORPORATING SVC INC | Agent | 2711 CENTERVILLE ROAD, SUITE 400WILMINGTON, DE 19808 |
Name | Role |
---|---|
LITTLE, WALTER P JR MD | Incorporator |
Event Date | Event Type | Old Value | New Value |
---|---|---|---|
2002-07-30 | Name Merged | No data | Histology Services, Inc. |
2001-11-16 | Name Change | Dermatopathology Services, P.C. | Dermatopathology Services, Inc. |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State