| Name: | Independent Medical Services, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Dissolved |
| Date of registration: | 27 Jan 1995 (30 years ago) |
| Date of dissolution: | 05 Aug 2010 |
| Entity Number: | 000-169-705 |
| Register Number: | 000169705 |
| County: | Cullman |
| Place of Formation: | Cullman County |
| Principal Address: | CULLMAN, AL |
| Registered Office Street Address: | 912 24TH STREET SWCULLMAN, AL 35055 |
| Registered Office Street Address ZIP Code: | 35055 |
| Authorized Capital: | $1,000 |
| Paid Share Capital: | $1,000 |
Activities
ANY LAWFUL ACTIVITY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609822626 | 2006-05-25 | 2009-05-26 | 1625 2ND AVE NW, CULLMAN, AL, 350551706, US | 1625 2ND AVE NW, CULLMAN, AL, 350551706, US | |||||||||||||||||||||||||||||||
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| Phone | +1 256-739-9171 |
| Fax | 2567399356 |
Authorized person
| Name | MR. CARY ALAN NAIL |
| Role | PRESIDENT |
| Phone | 2567399171 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | 368 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 009605860 |
| State | AL |
| Issuer | BLUE CROSS PROVIDER NUMBE |
| Number | 51031056IND |
| State | AL |
| Name | Role |
|---|---|
| NAIL, CARY A | Agent |
| Name | Role |
|---|---|
| NAIL, CARY A | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
