| Name: | Vein & Cosmetic Center of Prattville, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 17 Jul 2013 (11 years ago) |
| Date of dissolution: | 07 Jan 2020 |
| Entity Number: | 000-280-663 |
| Register Number: | 000280663 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 700 MONTGOMERY HIGHWAY SUITE 210BIRMINGHAM, AL 35216 |
| Registered Office Street Address ZIP Code: | 35216 |
Activities
PRACTICE OF MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1407298920 | 2013-07-25 | 2013-07-25 | 700 MONTGOMERY HWY, SUITE 210, VESTAVIA, AL, 352161866, US | 509 PINNACLE PL, PRATTVILLE, AL, 360666544, US | |||||||||||||||||||||
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| Phone | +1 205-823-0150 |
| Fax | 2058235218 |
| Phone | +1 205-823-0151 |
Authorized person
| Name | DR. JOHN R KINGSLEY |
| Role | PRESIDENT & OWNER |
| Phone | 2058230151 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| License Number | 280663 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SIMONETTI, D J | Organizer | 420 20TH STREET N STE 1400BIRMINGHAM, AL 35203 |
| Name | Role |
|---|---|
| KINGSLEY, JOHN R | Agent |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
