| Name: | Center for Cancer & Blood Disorders, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Dissolved |
| Date of registration: | 19 Sep 2014 (10 years ago) |
| Date of dissolution: | 23 Aug 2019 |
| Entity Number: | 000-318-583 |
| Register Number: | 000318583 |
| Historical Names: |
The Center for Cancer & Blood Disorders, P.C.
|
| County: | Lauderdale |
| Place of Formation: | Lauderdale County |
| Registered Office Street Address: | 202 E DR HICKS BLVDFLORENCE, AL 35630 |
| Registered Office Street Address ZIP Code: | 35630 |
| Authorized Capital: | 5000 @ $1.00PV |
Activities
PRACTICE OF MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1376947028 | 2014-10-09 | 2014-10-09 | 202 EAST DR HICKS BLVD, FLORENCE, AL, 35630, US | 202 E DR HICKS BLVD, FLORENCE, AL, 356305768, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 256-760-0422 |
Authorized person
| Name | DR. ANTHONY KALLIATH |
| Role | OWNER |
| Phone | 2567600422 |
Taxonomy
| Taxonomy Code | 261QX0200X - Oncology Clinic/Center |
| License Number | 14483 |
| State | AK |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KALLIATH, ANTHONY J | Agent | 202 E DR HICKS BLVDFLORENCE, AL 35630 |
| Name | Role | Address |
|---|---|---|
| KALLIATH, ANTHONY J | Director | 202 E DR HICKS BLVDFLORENCE, AL 35630 |
| Name | Role | Address |
|---|---|---|
| KALLIATH, ANTHONY J | Incorporator | 202 E DR HICKS BLVDFLORENCE, AL 35630 |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2014-12-01 | Name Merged | No data | ANTHONY KALLIATH, M.D., P.C. |
| 2014-11-25 | Name Change | The Center for Cancer & Blood Disorders, P.C. | Center for Cancer & Blood Disorders, P.C. |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
