Name: | Northside Medical, Inc. |
Jurisdiction: | Alabama |
Legal type: | Domestic Corporation |
Status: | Exists |
Date of registration: | 17 Apr 2008 (17 years ago) (Companies founded in April 2008) |
Entity Number: | 000-257-066 |
Register Number: | 000257066 |
ZIP code: | 35989 (Companies in De Kalb, 35989) |
County: | De Kalb |
Place of Formation: | DeKalb County |
Principal Address: | VALLEY HEAD, AL |
Registered Office Street Address: | 760 CO RD 622VALLEY HEAD, AL 35989 |
Authorized Capital: | $1,000 |
Activities
ANY LAWFUL ACTIVITY
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1205089372 | 2008-11-02 | 2008-11-02 | PO BOX 680047, FORT PAYNE, AL, 359681601, US | 211 GREENHILL BLVD NW, FORT PAYNE, AL, 359673755, US | |||||||||||||
|
Phone | +1 256-845-9355 |
Authorized person
Name | DR. ROBERT W. THEAKSTON |
Role | PRESIDENT |
Phone | 2568459355 |
Taxonomy
Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
Is Primary | Yes |
Name | Role |
---|---|
THEAKSTON, ROBERT | Agent |
Name | Role |
---|---|
THEAKSTON, ROBERT | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State