| Name: | Tennessee Valley Pediatric Sedation Services, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 01 Oct 2003 (21 years ago) (Companies founded in October 2003) |
| Entity Number: | 000-231-277 |
| Register Number: | 000231277 |
| ZIP code: | 35741 (Companies in Madison, 35741) |
| County: | Madison |
| Place of Formation: | Madison County |
| Principal Address: | BROWNSBORO, AL |
| Registered Office Street Address: | 2427 PRESTON RIDGE DRBROWNSBORO, AL 35741 |
| Authorized Capital: | $1,000 |
Activities
PROVIDE CLINICAL/EDUCATIONAL/ADMINISTRATIVE SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831158708 | 2006-03-21 | 2008-03-31 | 6585 HIGHWAY 431 S, HAMPTON COVE, AL, 357639230, US | 101 SIVLEY RD SW, HUNTSVILLE, AL, 358014421, US | |||||||||||||||||||||
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| Phone | +1 256-652-7852 |
| Fax | 2562657670 |
| Phone | +1 256-265-7671 |
Authorized person
| Name | DR. ELIS YNGVE OLSON |
| Role | PRESIDENT |
| Phone | 2566527852 |
Taxonomy
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| License Number | 20602 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| OLSON, ELIS | Agent |
| Name | Role |
|---|---|
| OLSON, ELIS | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
