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Birmingham Evaluation Services Technology, Inc.

Details

Name: Birmingham Evaluation Services Technology, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Dissolved
Date of registration: 28 Nov 2006 (18 years ago)
Date of dissolution: 05 Jan 2012
Entity Number: 000-250-063
Register Number: 000250063
County: Jefferson
Place of Formation: Jefferson County
Principal Address: BIRMINGHAM, AL
Registered Office Street Address: 2090 COLUMBIANA RD STE 2000BIRMINGHAM, AL 35216
Registered Office Street Address ZIP Code: 35216
Authorized Capital: $5,000

Activities COMPREHENSIVE PHYSICAL CAPACITY/DISABILITY/MEDICAL EVALUATIONS

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1245558261 2010-05-14 2010-05-14 880 MONTCLAIR RD, STE 571, BIRMINGHAM, AL, 352131972, US 880 MONTCLAIR RD, STE 571, BIRMINGHAM, AL, 352131972, US

Contacts

Phone +1 205-591-7929
Fax 2055917013

Authorized person

Name DR. ADAM ROSS NORTICK
Role PRESIDENT
Phone 2055917246

Taxonomy

Taxonomy Code 261QM2500X - Medical Specialty Clinic/Center
State AL
Is Primary Yes

Agent

Name Role Address
HASTY, WILLIAM D JR Agent 2090 COLUMBIANA ROAD STE 2000BIRMINGHAM, AL 35216

Incorporator

Name Role Address
HASTY, WILLIAM D JR Incorporator 2090 COLUMBIANA ROAD STE 2000BIRMINGHAM, AL 35216

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State