| Name: | Eastern Pulmonary and Sleep, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Dissolved |
| Date of registration: | 12 Feb 2001 (24 years ago) (Companies founded in February 2001) |
| Date of dissolution: | 20 Dec 2021 |
| Entity Number: | 000-214-860 |
| Register Number: | 000214860 |
| Historical Names: |
Eastern Pulmonary and Sleep Medicine, P.C.
Eastern Pulmonary, Sleep & Allergy, P.C. |
| ZIP code: | 35235 (Companies in Jefferson, 35235) |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 48 MEDICAL PARK DR EAST STE 456BIRMINGHAM, AL 35235 |
| Authorized Capital: | $1,000 |
Activities
PRACTICE OF MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134311665 | 2007-08-17 | 2017-04-26 | 100 PILOT MEDICAL DR, SUITE 100, BIRMINGHAM, AL, 352353411, US | 100 PILOT MEDICAL DR, SUITE 100, BIRMINGHAM, AL, 352353411, US | |||||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 205-854-8084 |
| Fax | 2058159341 |
Authorized person
| Name | MRS. SUSAN S MEADOWS |
| Role | OFFICE MANAGER |
| Phone | 2058538152 |
Taxonomy
| Taxonomy Code | 207RP1001X - Pulmonary Disease Physician |
| License Number | 22001 |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 207RP1001X - Pulmonary Disease Physician |
| License Number | 13732 |
| State | AL |
| Is Primary | Yes |
| Taxonomy Code | 207RP1001X - Pulmonary Disease Physician |
| License Number | 13565 |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 207RP1001X - Pulmonary Disease Physician |
| License Number | 29247 |
| State | AL |
| Is Primary | No |
| Name | Role |
|---|---|
| VINES, T ALA | Agent |
| Name | Role |
|---|---|
| COCKRUM, NADINE | Incorporator |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2016-11-15 | Name Change | Eastern Pulmonary, Sleep & Allergy, P.C. | Eastern Pulmonary and Sleep, P.C. |
| 2009-03-27 | Name Change | Eastern Pulmonary and Sleep Medicine, P.C. | Eastern Pulmonary, Sleep & Allergy, P.C. |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
