| Name: | Renaissance Imaging Services, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Dissolved |
| Date of registration: | 31 Oct 2006 (18 years ago) |
| Date of dissolution: | 11 Oct 2016 |
| Entity Number: | 000-249-948 |
| Register Number: | 000249948 |
| County: | Cullman |
| Place of Formation: | Cullman County |
| Principal Address: | CULLMAN, AL |
| Registered Office Street Address: | 98 CO RD 1320CULLMAN, AL 35058 |
| Registered Office Street Address ZIP Code: | 35058 |
| Authorized Capital: | $1,000 |
Activities
INDEPENDENT MEDICAL TESTING FACILITY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982748216 | 2007-02-19 | 2010-10-11 | 2457 MALL RD, FLORENCE, AL, 356302809, US | 2457 MALL RD, FLORENCE, AL, 356302809, US | |||||||||||||||||||||||||
|
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| Phone | +1 256-246-0814 |
Authorized person
| Name | BENNY PRESTON |
| Role | PARTNER |
| Phone | 2562460814 |
Taxonomy
| Taxonomy Code | 261QM1200X - Magnetic Resonance Imaging (MRI) Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 051558791 |
| State | AL |
| Issuer | RAILROAD MEDICARE |
| Number | P00461978 |
| State | AL |
| Name | Role |
|---|---|
| CARTER, WILLIAM C | Incorporator |
| BARKSDALE, P SCOTT | Incorporator |
| PRESTON, JOHN B | Incorporator |
| Name | Role |
|---|---|
| CARTER, WILLIAM C | Agent |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
