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
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 | |||||||||||||||||||
|
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 |
Name | Role |
---|---|
RABY, REBECCA B | Agent |
Name | Role |
---|---|
RABY, REBECCA B | Incorporator |
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