| Name: | Birmingham PET Imaging, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Dissolved |
| Date of registration: | 24 Oct 2003 (21 years ago) |
| Date of dissolution: | 17 Dec 2015 |
| Entity Number: | 000-231-728 |
| Register Number: | 000231728 |
| County: | Madison |
| Place of Formation: | Madison County |
| Principal Address: | HUNTSVILLE, AL |
| Registered Office Street Address: | 528 MADISON STHUNTSVILLE, AL 35801 |
| Registered Office Street Address ZIP Code: | 35801 |
| Authorized Capital: | $15,000 |
Activities
OWN/OPERATE/MAINTAIN A POSITRON EMISSION TOMOGRAPHY IMAGING CTR
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1033199179 | 2006-01-17 | 2008-02-22 | PO BOX 18006, HUNTSVILLE, AL, 358048006, US | 1425 MONTGOMERY HWY, SUITE 173, BIRMINGHAM, AL, 352163679, US | |||||||||||||||||||||||||||||
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| Phone | +1 256-533-2311 |
| Fax | 2565332231 |
| Phone | +1 205-978-0347 |
| Fax | 2059780349 |
Authorized person
| Name | TOMMY R HARRIS |
| Role | DIRECTOR |
| Phone | 2059780347 |
Taxonomy
| Taxonomy Code | 2085R0202X - Diagnostic Radiology Physician |
| License Number | 1392 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE RR PALMETTO GBA |
| Number | P00139607 |
| State | AL |
| Name | Role |
|---|---|
| HARRIS, TOMMY R | Agent |
| Name | Role |
|---|---|
| HARRIS, TOMMY R | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
