| Name: | University Diagnostics of Tuscaloosa, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 06 Aug 2010 (14 years ago) |
| Entity Number: | 000-264-923 |
| Register Number: | 000264923 |
| County: | Tuscaloosa |
| Place of Formation: | Tuscaloosa County |
| Principal Address: | TUSCALOOSA, AL |
| Registered Office Street Address: | 1435 2ND COURT EASTTUSCALOOSA, AL 35401 |
| Registered Office Street Address ZIP Code: | 35401 |
| Authorized Capital: | $10,000 |
Activities
PSYCHIATRIC MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1063718542 | 2011-02-01 | 2015-09-17 | 1435 2ND CT E, TUSCALOOSA, AL, 354013276, US | 701 UNIVERSITY BLVD E STE 204, TUSCALOOSA, AL, 354017431, US | |||||||||||||||||||||||
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| Phone | +1 205-349-1571 |
| Fax | 2053493263 |
| Phone | +1 205-553-9171 |
| Fax | 2055539127 |
Authorized person
| Name | DR. GARY NEWSOM |
| Role | PHYSICIAN |
| Phone | 2053491571 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| License Number | 21330 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| STEFANESCU, LYDIA A | Agent |
| Name | Role |
|---|---|
| STEFANESCU, LYDIA A | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
