| Name: | Northwest Alabama Cancer Center Radiological Services, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 26 Apr 2002 (23 years ago) |
| Entity Number: | 000-222-541 |
| Register Number: | 000222541 |
| County: | Lauderdale |
| Place of Formation: | Lauderdale County |
| Principal Address: | FLORENCE, AL |
| Registered Office Street Address: | 302 W DR HICKS BLVDFLORENCE, AL 35630 |
| Registered Office Street Address ZIP Code: | 35630 |
| Authorized Capital: | $10 |
Activities
ANY LAWFUL ACTIVITY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1972553204 | 2006-05-10 | 2012-05-22 | 101 DR W H BLAKE JR DR, MUSCLE SHOALS, AL, 356612152, US | 302 W DR HICKS BLVD, STE. B, FLORENCE, AL, 356306160, US | |||||||||||||||||||||||
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| Phone | +1 256-381-1001 |
| Fax | 2563813604 |
| Phone | +1 256-767-2733 |
| Fax | 2567672717 |
Authorized person
| Name | DR. J. PATRICK DAUGHERTY |
| Role | PRESIDENT |
| Phone | 2567644200 |
Taxonomy
| Taxonomy Code | 2085N0904X - Nuclear Radiology Physician |
| License Number | 1359 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| DAUGHERTY, J PATRICK | Agent |
| Name | Role | Address |
|---|---|---|
| PITTS, CONRAD C | Incorporator | 401 EAST TUSCALOOSA STFLORENCE, AL 35630 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
