| Name: | Pain Diagnosis and Treatment, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Dissolved |
| Date of registration: | 13 Apr 2016 (9 years ago) (Companies founded in April 2016) |
| Date of dissolution: | 28 Aug 2020 |
| Entity Number: | 000-361-186 |
| Register Number: | 000361186 |
| ZIP code: | 36695 (Companies in Mobile, 36695) |
| County: | Mobile |
| Place of Formation: | Mobile County |
| Registered Office Street Address: | 6409 CRANBRAKE ROADMOBILE, AL 36695 |
| Authorized Capital: | 1000@$1.00 PV |
Activities
TO PROVIDE DIRECT AND INDIRECT MEDICAL CARE TO PATIENTS
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750734927 | 2016-07-22 | 2016-08-09 | 6001 AIRPORT BLVD, MOBILE, AL, 366083142, US | 6001 AIRPORT BLVD, MOBILE, AL, 366083142, US | |||||||||||||||||||||||
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| Phone | +1 251-342-0001 |
| Fax | 2513420002 |
Authorized person
| Name | DR. RALPH LEE IRVIN |
| Role | PRESIDENT/ PHYSICIAN |
| Phone | 2513420001 |
Taxonomy
| Taxonomy Code | 207LP2900X - Pain Medicine (Anesthesiology) Physician |
| Is Primary | Yes |
| Taxonomy Code | 208VP0000X - Pain Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 208VP0014X - Interventional Pain Medicine Physician |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| IRVIN, KARLA H | Director | 6409 CRANBRAKE ROADMOBILE, AL 36695 |
| IRVIN, R L | Director | 6409 CRANBRAKE ROADMOBILE, AL 36695 |
| Name | Role | Address |
|---|---|---|
| IRVIN, R L | Agent | 6409 CRANBRAKE ROADMOBILE, AL 36695 |
| Name | Role | Address |
|---|---|---|
| IRVIN, R L | Incorporator | 6409 CRANBRAKE ROADMOBILE, AL 36695 |
| IRVIN, KARLA H | Incorporator | 6409 CRANBRAKE ROADMOBILE, AL 36695 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
