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Insight Imaging, Inc.

Details

Name: Insight Imaging, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 29 Jul 2004 (20 years ago)
Entity Number: 000-236-694
Register Number: 000236694
County: Madison
Place of Formation: Madison County
Principal Address: 2003 Whitesburg Dr.Huntsville, AL 35801
Principal Address ZIP Code: 35801
Registered Office Street Address: 12935 HWY 231-431 NORTHHAZEL GREEN, AL 35750
Registered Office Street Address ZIP Code: 35750
Authorized Capital: $1,000

Activities MEDICAL IMAGING HEALTH RELATED SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1497713382 2006-05-02 2016-08-22 2003A WHITESBURG DR S, HUNTSVILLE, AL, 358014543, US 2003A WHITESBURG DR S, HUNTSVILLE, AL, 358014543, US

Contacts

Phone +1 256-536-3550
Fax 2565363554

Authorized person

Name MR. BART A MEDLEN
Role OWNER
Phone 2565363550

Taxonomy

Taxonomy Code 2085R0202X - Diagnostic Radiology Physician
Is Primary Yes
Taxonomy Code 2085U0001X - Diagnostic Ultrasound Physician
Is Primary No

Other Provider Identifiers

Issuer MEDICAID
Number 529923970
State AL

Agent

Name Role Address
TAYLOR, WILLIAM E JR Agent 188 TANNER ROADNEW MARKET, AL 35761

Director

Name Role Address
Bart Medlen Director 1700 Butler Rd.New Market, AL 35761

Incorporator

Name Role Address
TAYLOR, WILLIAM E JR Incorporator 188 TANNER ROADNEW MARKET, AL 35761
MEDLEN, BART A Incorporator No data

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State