| Name: | Urogynecology Center of Huntsville, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 09 Feb 2016 (9 years ago) |
| Entity Number: | 000-352-446 |
| Register Number: | 000352446 |
| County: | Madison |
| Place of Formation: | Madison County |
| Registered Office Street Address: | 204 LOWE AVENUE SE SUITE 2HUNTSVILLE, AL 35801 |
| Registered Office Street Address ZIP Code: | 35801 |
| Authorized Capital: | 1,000 @ $1.00PV |
Activities
MEDICAL PRACTICE SPECIALIZING IN OBSTERICS/GYNECOLOGY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1356700298 | 2016-02-21 | 2016-02-21 | 204 LOWE AVE SE, BUILDING 1, SUITE 2, HUNTSVILLE, AL, 358014262, US | 204 LOWE AVE SE, BUILDING 1, SUITE 2, HUNTSVILLE, AL, 358014262, US | |||||||||||||||||||||||||
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| Phone | +1 256-517-8861 |
| Fax | 2565178872 |
Authorized person
| Name | DR. KARI MARIE KUBIK |
| Role | PHYSICIAN OWNER |
| Phone | 4046947966 |
Taxonomy
| Taxonomy Code | 207VF0040X - Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician |
| License Number | 29160 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | INDIVIDUAL NPI |
| Number | 1508848540 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| KUBIK, KARI M | Agent | 135 COVESHIRE PLACEMADISON, AL 35758 |
| Name | Role | Address |
|---|---|---|
| KUBIK, KARI M | Director | 135 COVESHIRE PLACEMADISON, AL 35758 |
| Name | Role | Address |
|---|---|---|
| KUBIK, KARI M | Incorporator | 135 COVESHIRE PLACEMADISON, AL 35758 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
