Name: | InPatient Consultants of Alabama, Inc. |
Jurisdiction: | Alabama |
Legal type: | Domestic Corporation |
Status: | Exists |
Date of registration: | 13 May 2004 (21 years ago) (Companies founded in May 2004) |
Entity Number: | 000-235-244 |
Register Number: | 000235244 |
ZIP code: | 36104 (Companies in Montgomery, 36104) |
County: | Montgomery |
Place of Formation: | Montgomery County |
Principal Address: | MONTGOMERY, AL |
Registered Office Street Address: | 641 SOUTH LAWRENCE STREETMONTGOMERY, AL 36104 |
Authorized Capital: | 1,000 |
Activities
ANY LAWFUL ACTIVITY
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1235238916 | 2006-09-21 | 2020-11-12 | 1643 NW 136TH AVE STE 100, SUNRISE, FL, 333232857, US | 5 MOBILE INFIRMARY CIR, MOBILE, AL, 366073513, US | |||||||||||||||||||||||||||||||||||||
|
Phone | +1 800-424-3672 |
Phone | +1 314-317-0600 |
Fax | 3143170606 |
Authorized person
Name | DR. RANDAL DABBS |
Role | PRESIDENT |
Phone | 8656931000 |
Taxonomy
Taxonomy Code | 174400000X - Specialist |
State | AL |
Is Primary | No |
Taxonomy Code | 207R00000X - Internal Medicine Physician |
State | AL |
Is Primary | Yes |
Taxonomy Code | 208M00000X - Hospitalist Physician |
State | AL |
Is Primary | No |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 529932853 |
State | AL |
Name | Role | Address |
---|---|---|
CORPORATION SERVICE COMPANY INC | Agent | 251 LITTLE FALLS DRIVEWILMINGTON, DE 19808 |
Name | Role |
---|---|
ORTIZ, ESTHER M | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State