| Name: | Advanced Cardiac Solutions, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Dissolved |
| Date of registration: | 23 Dec 1997 (27 years ago) (Companies founded in December 1997) |
| Date of dissolution: | 08 Jan 2009 |
| Entity Number: | 000-192-134 |
| Register Number: | 000192134 |
| ZIP code: | 35023 (Companies in Jefferson, 35023) |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Principal Address: | BIRMINGHAM, AL |
| Registered Office Street Address: | 1020 9TH AVE SW STE 102BESSEMER, AL 35023 |
| Authorized Capital: | 3,000 NPV |
Activities
PROFESSIONAL SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1679570782 | 2005-07-05 | 2020-08-22 | 401 19TH ST N, SUITE 105, BESSEMER, AL, 350204801, US | 401 19TH ST N, SUITE 105, BESSEMER, AL, 350204801, US | |||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 205-481-2040 |
| Fax | 2054812040 |
| Fax | 2054812041 |
Authorized person
| Name | MR. TIM ROGERS |
| Role | VICE PRESIDENT |
| Phone | 2054814876 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | 111278 |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 333600000X - Pharmacy |
| License Number | 111278 |
| State | AL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | BCBS MAJOR MEDICAL |
| Number | 51509120 |
| State | AL |
| Issuer | BCBS MEDICARE PROVIDER |
| Number | 51507665 |
| State | AL |
| Name | Role |
|---|---|
| WALL, CHARLES RAY | Agent |
| Name | Role |
|---|---|
| WALL, CHARLES RAY | Incorporator |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2005-05-27 | Capital Change | $10 Authorized --- Paid In | 3,000 NPV Authorized undefined Paid In |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
