| Name: | Everts, Livingston & Miller Surgical Services, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 19 Dec 2014 (10 years ago) |
| Date of dissolution: | 11 Apr 2016 |
| Entity Number: | 000-324-936 |
| Register Number: | 000324936 |
| County: | Shelby |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 2090 COLUMBIANA ROAD SUITE 2000BIRMINGHAM, AL 35216 |
| Registered Office Street Address ZIP Code: | 35216 |
| Principal Address: | 420 1ST STREET NORTHALABASTER, AL 35007 |
| Principal Address ZIP Code: | 35007 |
Activities
OWN AND OPERATE A SUPPORT AND MANAGEMENT SERVICES BUSINESS
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649660713 | 2015-01-28 | 2015-01-28 | 1 INVERNESS CENTER PKWY, SUITE 200, BIRMINGHAM, AL, 352424817, US | 1 INVERNESS CENTER PKWY, SUITE 200, BIRMINGHAM, AL, 352424817, US | |||||||||||||||||
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| Phone | +1 205-999-0979 |
Authorized person
| Name | LISA L MILLER |
| Role | OWNER/PROVIDER |
| Phone | 2059990979 |
Taxonomy
| Taxonomy Code | 1223S0112X - Oral and Maxillofacial Surgery (Dentist) |
| License Number | 5364 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HASTY, WILLIAM D JR | Agent | 2090 COLUMBIANA ROAD STE 2000BIRMINGHAM, AL 35216 |
| Name | Role | Address |
|---|---|---|
| SHELBY ORAL FACIAL SURGERY,PC | Organizer | 420 1ST STREET NORTHALABASTER, AL 35007 |
| LISA MILLER ORAL FACIAL SURGERY,PC | Organizer | 4314 KINGS MOUNTAIN RIDGEBIRMINGHAM, AL 35242 |
| HASTY, WILLIAM D JR | Organizer | 2090 COLUMBIANA ROAD STE 2000BIRMINGHAM, AL 35216 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
