| Name: | South Baldwin Diagnostic Imaging Associates, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 24 Apr 1997 (28 years ago) (Companies founded in April 1997) |
| Entity Number: | 000-186-918 |
| Register Number: | 000186918 |
| ZIP code: | 36535 (Companies in Baldwin, 36535) |
| County: | Baldwin |
| Place of Formation: | Baldwin County |
| Principal Address: | FOLEY, AL |
| Registered Office Street Address: | 1613 NORTH MCKENZIE STREETFOLEY, AL 36535 |
| Authorized Capital: | $5,000 |
Activities
TO PRACTICE MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1124000856 | 2005-11-17 | 2007-08-27 | PO BOX 7866, MOBILE, AL, 366700866, US | 1613 N MCKENZIE ST, FOLEY, AL, 365352247, US | |||||||||||||||
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| Phone | +1 251-949-1513 |
| Fax | 2514765460 |
Authorized person
| Name | DR. G. TERRAL KING |
| Role | PRESIDENT |
| Phone | 2519491513 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CAMPBELL, JOHN | Agent | 107 MARSHWOOD PLENTERPRISE, AL 36330 |
| Name | Role |
|---|---|
| COOPER, W HOWARD MD | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
