Name: | Shades Mountain Imaging, P.C. |
Jurisdiction: | Alabama |
Legal type: | Domestic Professional Corporation |
Status: | Exists |
Date of registration: | 23 Jun 2004 (20 years ago) |
Entity Number: | 000-236-012 |
Register Number: | 000236012 |
County: | Shelby |
Place of Formation: | Jefferson County |
Principal Address: | BIRMINGHAM, AL |
Registered Office Street Address: | 1130 HIGHLAND LAKES CIRBIRMINGHAM, AL 35242 |
Registered Office Street Address ZIP Code: | 35242 |
Authorized Capital: | $10,000 |
Activities
RENDER MANGETIC RESONANCE IMAGING SERVICES
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1033157185 | 2006-06-02 | 2020-08-22 | 2000A SOUTHBRIDGE PKWY, STE 300, BIRMINGHAM, AL, 352097704, US | 502 MONTGOMERY HWY, STE 101, VESTAVIA HILLS, AL, 352161862, US | |||||||||||||||||||
|
Phone | +1 205-871-4274 |
Fax | 2058714301 |
Phone | +1 205-823-0882 |
Fax | 2058230872 |
Authorized person
Name | CHARLES MICHAEL MEAD |
Role | PRESIDENT |
Phone | 2058230882 |
Taxonomy
Taxonomy Code | 2085R0202X - Diagnostic Radiology Physician |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
LEVITT, RONALD A | Incorporator | PO BOX 55727BIRMINGHAM, AL 35255-5727 |
Name | Role |
---|---|
MEAD, C MICHAEL | Agent |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State