| Name: | FSG Immunizations, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 17 Nov 2003 (21 years ago) |
| Entity Number: | 000-232-157 |
| Register Number: | 000232157 |
| Historical Names: |
Wood Clinical Services, Inc.
|
| County: | Lee |
| Place of Formation: | Lee County |
| Principal Address: | OPELIKA, AL |
| Registered Office Street Address: | 610 RUSTIC STOPELIKA, AL 36801 |
| Registered Office Street Address ZIP Code: | 36801 |
| Authorized Capital: | $100 |
Activities
PROVIDE FLU/PHEUMONIA SHOTS
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1821006495 | 2006-08-03 | 2008-09-12 | 1505 FITZPATRICK AVE, OPELIKA, AL, 368014822, US | 1505 FITZPATRICK AVE, OPELIKA, AL, 368014822, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 334-524-0595 |
| Fax | 8666839417 |
Authorized person
| Name | MR. ARTHUR NELSON BUSKILL |
| Role | VICE PRESIDENT |
| Phone | 3345240595 |
Taxonomy
| Taxonomy Code | 163W00000X - Registered Nurse |
| License Number | 1049058 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| WOOD, GARY A | Agent |
| Name | Role |
|---|---|
| WOOD, GARY A | Incorporator |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2008-06-10 | Name Change | Wood Clinical Services, Inc. | FSG Immunizations, Inc. |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
