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Allergy, Asthma and Clinical Immunology Specialists, P.C.

Details

Name: Allergy, Asthma and Clinical Immunology Specialists, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 17 Jul 1998 (26 years ago) (Companies founded in July 1998)
Entity Number: 000-196-798
Register Number: 000196798
Historical Names: Rebecca B. Raby, M.D., P.C.
ZIP code: 35801 (Companies in Madison, 35801)
County: Madison
Place of Formation: Madison County
Registered Office Street Address: 420 LOWELL DR, STE 500HUNTSVILLE, AL 35801
Authorized Capital: 1,000

Activities RENDERING SERVICES TO THE PUBLIC AS A PHYSICIAN

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1184683021 2006-03-20 2012-06-28 4021 BALMORAL DR SW, HUNTSVILLE, AL, 358016403, US 4021 BALMORAL DR SW, HUNTSVILLE, AL, 358016403, US

Contacts

Phone +1 256-382-0070
Fax 2563820089

Authorized person

Name MR. MARTIN BECK
Role ADMINISTRATOR
Phone 2563820070

Taxonomy

Taxonomy Code 174400000X - Specialist
License Number 20009
State AL
Is Primary Yes

Agent

Name Role
RABY, REBECCA B Agent

Incorporator

Name Role
RABY, REBECCA B Incorporator

Events

Event Date Event Type Old Value New Value
2002-07-09 Name Change Rebecca B. Raby, M.D., P.C. Allergy, Asthma and Clinical Immunology Specialists, P.C.

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State