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Vein & Cosmetic Center of Tuscaloosa, LLC

Details

Name: Vein & Cosmetic Center of Tuscaloosa, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 17 Jul 2013 (11 years ago)
Entity Number: 000-280-665
Register Number: 000280665
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

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1841632353 2013-07-25 2013-07-25 700 MONTGOMERY HWY, SUITE 210, VESTAVIA, AL, 352161866, US 1800 MCFARLAND BLVD E, SUITE 336, TUSCALOOSA, AL, 354045874, US

Contacts

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 280665
State AL
Is Primary Yes

Agent

Name Role
KINGSLEY, JOHN R Agent

Organizer

Name Role Address
SIMONETTI, D J Organizer 420 20TH STREET N STE 1400BIRMINGHAM, AL 35203

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State