| Name: | Northside Onsite Medical Services, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Dissolved |
| Date of registration: | 16 May 2014 (10 years ago) |
| Date of dissolution: | 19 Dec 2016 |
| Entity Number: | 000-310-123 |
| Register Number: | 000310123 |
| County: | De Kalb |
| Place of Formation: | DeKalb County |
| Registered Office Street Address: | 211 GREENHILL BLVD NWFORT PAYNE, AL 35967 |
| Registered Office Street Address ZIP Code: | 35967 |
| Authorized Capital: | 100 @ $10.00 PV |
Activities
ANY & ALL LAWFUL BUSINESS
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386056216 | 2014-05-27 | 2014-05-28 | 211 GREENHILL BLVD NW, FORT PAYNE, AL, 359673755, US | 106 45TH ST NE, FORT PAYNE, AL, 359674010, US | |||||||||||||||
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| Phone | +1 256-845-9355 |
| Phone | +1 256-304-2109 |
Authorized person
| Name | DR. ROBERT THEAKSTON |
| Role | PRESIDENT |
| Phone | 2568459355 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| THEAKSTON, ROBERT W | Agent | 211 GREENHILL BLVD NWFORT PAYNE, AL 35967 |
| Name | Role | Address |
|---|---|---|
| THEAKSTON, ROBERT WAYNE | Director | 211 GREENHILL BLVD NWFORT PAYNE, AL 35967 |
| Name | Role | Address |
|---|---|---|
| THEAKSTON, ROBERT W | Incorporator | 211 GREENHILL BLVD NWFORT PAYNE, AL 35967 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
