| Name: | Alabama Heart and Lung Surgery Center, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 19 Sep 2013 (11 years ago) |
| Date of dissolution: | 11 Jan 2017 |
| Entity Number: | 000-287-537 |
| Register Number: | 000287537 |
| County: | Lee |
| Place of Formation: | Lee County |
| Principal Address: | 2002 WINDING WAYAUBURN, AL 36830 |
| Principal Address ZIP Code: | 36830 |
Activities
SURGICAL AND MEDICAL SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1407283625 | 2013-10-02 | 2013-10-02 | 2000 PEPPERELL PKWY, BUILDING 190, OPELIKA, AL, 368015452, US | 2000 PEPPERELL PKWY, BUILDING 190, OPELIKA, AL, 368015452, US | |||||||||||||||||||
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| Phone | +1 334-528-5900 |
| Fax | 3345285899 |
Authorized person
| Name | DR. BARRY GLEN CROWE |
| Role | PRESIDENT/OWNER |
| Phone | 3345285900 |
Taxonomy
| Taxonomy Code | 208G00000X - Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
| License Number | 22312 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CROWE, BARRY G | Agent | 2002 WINDING WAYAUBURN, AL 36830 |
| Name | Role | Address |
|---|---|---|
| CROWE, BARRY G | Organizer | 2002 WINDING WAYAUBURN, AL 36830 |
| MATTSON, GERALD A JR | Organizer | 987 DREW LANEAUBURN, AL 36830 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
