| Name: | University Internal Medicine, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 03 Jan 1992 (33 years ago) |
| Entity Number: | 000-147-125 |
| Register Number: | 000147125 |
| Historical Names: |
808 Clinic, P.C.
|
| County: | Tuscaloosa |
| Place of Formation: | Tuscaloosa County |
| Principal Address: | TUSCALOOSA, AL |
| Registered Office Street Address: | 701 UNIVERSITY BLVD STE 808TUSCALOOSA, AL 35401 |
| Registered Office Street Address ZIP Code: | 35401 |
| Authorized Capital: | $3,000 |
Activities
PRACTICE MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1255407607 | 2006-11-28 | 2020-08-22 | 701 UNIVERSITY BLVD E, SUITE 204, TUSCALOOSA, AL, 354012086, US | 701 UNIVERSITY BLVD E, SUITE 204, TUSCALOOSA, AL, 354012086, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 205-391-0800 |
| Fax | 2053910423 |
Authorized person
| Name | DR. BRIAN KEITH COLLIER |
| Role | OWNER PHYSICIAN |
| Phone | 2053334966 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| COLLIER, KEITH | Agent | 261 COUNTY ROAD 273FLORENCE, AL 35633 |
| Name | Role |
|---|---|
| RICKETTS, T MARK | Incorporator |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 1992-06-22 | Name Change | 808 Clinic, P.C. | University Internal Medicine, P.C. |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
