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Shoals Radiology Associates, P.C.

Details

Name: Shoals Radiology Associates, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 11 May 1999 (26 years ago)
Entity Number: 000-202-700
Register Number: 000202700
County: Colbert
Place of Formation: Colbert County
Principal Address: MUSCLE SHOALS, AL
Registered Office Street Address: 203 AVALON AVE STE 250MUSCLE SHOALS, AL 35661
Registered Office Street Address ZIP Code: 35661
Authorized Capital: $1,000
Paid Share Capital: $1,000

Activities MEDICAL PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1750356572 2006-02-23 2008-10-24 406 WOODWARD AVE, MUSCLE SHOALS, AL, 356611542, US 406 WOODWARD AVE, MUSCLE SHOALS, AL, 356611542, US

Contacts

Phone +1 256-386-7100
Fax 2563860937

Authorized person

Name DR. ROBERT E CHASAN
Role PRESIDENT
Phone 2563867100

Taxonomy

Taxonomy Code 2085R0202X - Diagnostic Radiology Physician
Is Primary Yes

Agent

Name Role
CHASAN, ROBERT E Agent

Incorporator

Name Role
BOROSKY, BERNARD D Incorporator
CHASAN, ROBERT E Incorporator

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State