Name: | David L. Rader, M.D., P.C. |
Jurisdiction: | Alabama |
Legal type: | Domestic Professional Corporation |
Status: | Exists |
Date of registration: | 05 Oct 1992 (32 years ago) (Companies founded in October 1992) |
Entity Number: | 000-152-490 |
Register Number: | 000152490 |
ZIP code: | 35205 (Companies in Jefferson, 35205) |
County: | Jefferson |
Place of Formation: | Jefferson County |
Registered Office Street Address: | 2700 9TH COURT SOUTH STE 500BIRMINGHAM, AL 35205 |
Authorized Capital: | $100 |
Paid Share Capital: | $100 |
Activities
PRACTICE MEDICINE
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1760541635 | 2006-12-07 | 2020-08-22 | 833 SAINT VINCENTS DR, SUITE 202, BIRMINGHAM, AL, 352051606, US | 833 SAINT VINCENTS DR, SUITE 202, BIRMINGHAM, AL, 352051606, US | |||||||||||||||||||||||||
|
Phone | +1 205-933-8150 |
Fax | 2055584064 |
Authorized person
Name | DAVID L RADER |
Role | OWNER |
Phone | 2059338150 |
Taxonomy
Taxonomy Code | 208600000X - Surgery Physician |
License Number | 11987 |
State | AL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | PROVIDER NUMBER |
Number | 51084730 |
State | AL |
Name | Role |
---|---|
RADER, DAVID L | Agent |
Name | Role |
---|---|
RADER, DAVID L | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State