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InPatient Consultants of Alabama, Inc.

Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
CORPORATION SERVICE COMPANY INC Agent 251 LITTLE FALLS DRIVEWILMINGTON, DE 19808

Incorporator

Name Role
ORTIZ, ESTHER M Incorporator

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State