| Name: | Digital Diagnostic Imaging, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 11 Feb 2002 (23 years ago) (Companies founded in February 2002) |
| Entity Number: | 000-221-489 |
| Register Number: | 000221489 |
| ZIP code: | 35661 (Companies in Colbert, 35661) |
| County: | Colbert |
| Place of Formation: | Colbert County |
| Principal Address: | MUSCLE SHOALS, AL |
| Registered Office Street Address: | 109 A C CURRYMUSCLE SHOALS, AL 35661 |
| Authorized Capital: | $1,000 |
Activities
ANY LAWFUL ACTIVITY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053414847 | 2006-09-07 | 2020-08-22 | 416 W DR HICKS BLVD, FLORENCE, AL, 356306101, US | 416 W DR HICKS BLVD, FLORENCE, AL, 356306101, US | |||||||||||||||||||||||||
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| Phone | +1 256-764-7676 |
| Fax | 2567645955 |
Authorized person
| Name | MR. STEPHEN LEE VICKERY |
| Role | VICE PRESIDENT |
| Phone | 2567647676 |
Taxonomy
| Taxonomy Code | 293D00000X - Physiological Laboratory |
| License Number | 11920 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | 51510288 |
| State | AL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DIGITAL DIAGNOSTIC IMAGING INC 401K PLAN | 2010 | 943418457 | 2010-11-23 | DIGITAL DIAGNOSTIC IMAGING INC | 4 | |||||||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 943418457 |
| Plan administrator’s name | DIGITAL DIAGNOSTIC IMAGING INC |
| Plan administrator’s address | PO BOX 670, FLORENCE, AL, 356310670 |
| Administrator’s telephone number | 2567647676 |
Signature of
| Role | Employer/plan sponsor |
| Date | 2010-11-23 |
| Name of individual signing | SUZANNE COLE |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2006-09-26 |
| Business code | 621510 |
| Sponsor’s telephone number | 2567647676 |
| Plan sponsor’s address | PO BOX 670, FLORENCE, AL, 356310670 |
Plan administrator’s name and address
| Administrator’s EIN | 943418457 |
| Plan administrator’s name | DIGITAL DIAGNOSTIC IMAGING INC |
| Plan administrator’s address | PO BOX 670, FLORENCE, AL, 356310670 |
| Administrator’s telephone number | 2567647676 |
Signature of
| Role | Plan administrator |
| Date | 2010-11-23 |
| Name of individual signing | STEVE VICKERY |
| Role | Employer/plan sponsor |
| Date | 2010-11-23 |
| Name of individual signing | SUZANNE COLE |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2006-09-26 |
| Business code | 621510 |
| Sponsor’s telephone number | 2567647676 |
| Plan sponsor’s address | PO BOX 670, FLORENCE, AL, 356310670 |
Plan administrator’s name and address
| Administrator’s EIN | 943418457 |
| Plan administrator’s name | DIGITAL DIAGNOSTIC IMAGING INC |
| Plan administrator’s address | PO BOX 670, FLORENCE, AL, 356310670 |
| Administrator’s telephone number | 2567647676 |
Signature of
| Role | Employer/plan sponsor |
| Date | 2010-11-23 |
| Name of individual signing | SUZANNE COLE |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2006-09-26 |
| Business code | 621510 |
| Sponsor’s telephone number | 2567647676 |
| Plan sponsor’s address | PO BOX 670, FLORENCE, AL, 356310670 |
Plan administrator’s name and address
| Administrator’s EIN | 943418457 |
| Plan administrator’s name | DIGITAL DIAGNOSTIC IMAGING INC |
| Plan administrator’s address | PO BOX 670, FLORENCE, AL, 356310670 |
| Administrator’s telephone number | 2567647676 |
Signature of
| Role | Plan administrator |
| Date | 2010-09-24 |
| Name of individual signing | SUZANNE COLE |
| Name | Role |
|---|---|
| STOKES, SHIRLEY | Agent |
| Name | Role |
|---|---|
| BURLESON, GERALD MAX | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
