| Name: | High Tech Imaging Center, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 10 Dec 2003 (21 years ago) (Companies founded in December 2003) |
| Entity Number: | 000-232-379 |
| Register Number: | 000232379 |
| ZIP code: | 36116 (Companies in Montgomery, 36116) |
| County: | Montgomery |
| Place of Formation: | Montgomery County |
| Registered Office Street Address: | 4060 EASTERN BLVDMONTGOMERY, AL 36116 |
| Authorized Capital: | $1,000 |
Activities
CONDUCT AN MRI OR IMAGING CENTER
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1588753297 | 2006-10-12 | 2008-02-21 | 1510 FOREST AVE, SUITE B, MONTGOMERY, AL, 361061517, US | 1510 FOREST AVE, SUITE B, MONTGOMERY, AL, 361061517, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Phone | +1 334-256-7213 |
Authorized person
| Name | MR. REVA ESMAILI |
| Role | PRESIDENT |
| Phone | 3342657213 |
Taxonomy
| Taxonomy Code | 247100000X - Radiologic Technologist |
| Is Primary | No |
| Taxonomy Code | 2471C3401X - Computed Tomography Radiologic Technologist |
| Is Primary | No |
| Taxonomy Code | 2471C3402X - Radiography Radiologic Technologist |
| Is Primary | No |
| Taxonomy Code | 2471M1202X - Magnetic Resonance Imaging Radiologic Technologist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | 51521424 |
| State | AL |
| Issuer | BCBS |
| Number | 51521426 |
| State | AL |
| Issuer | BCBS |
| Number | 51533081 |
| State | AL |
| Issuer | BCBS |
| Number | 51521427 |
| State | AL |
| Issuer | BCBS |
| Number | 51521429 |
| State | AL |
| Issuer | BCBS |
| Number | 51521431 |
| State | AL |
| Issuer | BCBS |
| Number | 51526731 |
| State | AL |
| Issuer | BCBS |
| Number | 51521430 |
| State | AL |
| Issuer | RAIL ROAD MEDICARE |
| Number | P00388885 |
| State | AL |
| Issuer | BCBS |
| Number | 51521432 |
| State | AL |
| Issuer | BCBS |
| Number | 51521425 |
| State | AL |
| Issuer | BCBS |
| Number | 51521428 |
| State | AL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HIGH TECH IMAGING (WELFARE PLAN) | 2022 | 200497490 | 2023-07-27 | HIGH TECH IMAGING CENTER | 17 | |||||||||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||||||||
| Administrator’s EIN | 472506773 |
| Plan administrator’s name | KENNION & CO LLC |
| Plan administrator’s address | 2828 OLD 280 COURT, SUITE 110, VESTAVIA, AL, 35243 |
| Administrator’s telephone number | 8669665457 |
Signature of
| Role | Plan administrator |
| Date | 2023-07-19 |
| Name of individual signing | W. HAL SHEPHERD |
| Role | Employer/plan sponsor |
| Date | 2023-07-19 |
| Name of individual signing | W. HAL SHEPHERD |
| File | View Page |
| Three-digit plan number (PN) | 951 |
| Effective date of plan | 2019-07-01 |
| Business code | 325200 |
| Sponsor’s telephone number | 3342657213 |
| Plan sponsor’s address | 1510 FOREST AVENUE, MONTGOMERY, AL, 36106 |
Plan administrator’s name and address
| Administrator’s EIN | 472506773 |
| Plan administrator’s name | KENNION & CO LLC |
| Plan administrator’s address | 2828 OLD 280 COURT, SUITE 110, VESTAVIA, AL, 35243 |
| Administrator’s telephone number | 8669665457 |
Signature of
| Role | Plan administrator |
| Date | 2022-07-21 |
| Name of individual signing | W. HAL SHEPHERD |
| Role | Employer/plan sponsor |
| Date | 2022-07-21 |
| Name of individual signing | W. HAL SHEPHERD |
| File | View Page |
| Three-digit plan number (PN) | 951 |
| Effective date of plan | 2019-07-01 |
| Business code | 325200 |
| Sponsor’s telephone number | 3342657213 |
| Plan sponsor’s address | 1510 FOREST AVENUE, MONTGOMERY, AL, 36106 |
Plan administrator’s name and address
| Administrator’s EIN | 472506773 |
| Plan administrator’s name | KENNION & CO LLC |
| Plan administrator’s address | 2828 OLD 280 COURT, SUITE 110, VESTAVIA, AL, 35243 |
| Administrator’s telephone number | 8669665457 |
Signature of
| Role | Plan administrator |
| Date | 2021-07-20 |
| Name of individual signing | W. HAL SHEPHERD |
| Role | Employer/plan sponsor |
| Date | 2021-07-20 |
| Name of individual signing | W. HAL SHEPHERD |
| File | View Page |
| Three-digit plan number (PN) | 951 |
| Effective date of plan | 2019-07-01 |
| Business code | 325200 |
| Sponsor’s telephone number | 3342657213 |
| Plan sponsor’s address | 1510 FOREST AVENUE, MONTGOMERY, AL, 36106 |
Plan administrator’s name and address
| Administrator’s EIN | 472506773 |
| Plan administrator’s name | KENNION & CO LLC |
| Plan administrator’s address | 800 CORPORATE PKWY STE 100, BIRMINGHAM, AL, 35242 |
| Administrator’s telephone number | 8669665457 |
Signature of
| Role | Plan administrator |
| Date | 2020-07-30 |
| Name of individual signing | W. HAL SHEPHERD |
| Role | Employer/plan sponsor |
| Date | 2020-07-30 |
| Name of individual signing | W. HAL SHEPHERD |
| Name | Role |
|---|---|
| ESMAILI, MOHAMMAD REZ | Agent |
| Name | Role | Address |
|---|---|---|
| ESMAILI, MOHAMMAD REZA | Incorporator | 1510 FOREST AVENUEMONTGOMERY, AL 36106 |
| RYAN, PATRICK G | Incorporator | No data |
| RIGSBY, THOMAS W | Incorporator | No data |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
