Search icon

Shades Mountain Imaging, P.C.

Details

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

National Provider Identifier

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

Contacts

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

Incorporator

Name Role Address
LEVITT, RONALD A Incorporator PO BOX 55727BIRMINGHAM, AL 35255-5727

Agent

Name Role
MEAD, C MICHAEL Agent

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State