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Comprehensive Pain Services of Alabama, LLC

Details

Name: Comprehensive Pain Services of Alabama, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 01 Jun 2016 (8 years ago)
Date of dissolution: 21 Feb 2023
Entity Number: 000-364-047
Register Number: 000364047
County: Jefferson
Place of Formation: Jefferson County
Registered Office Street Address: 2151 OLD ROCKY ROAD, SUITE 106BIRMINGHAM, AL 35216
Registered Office Street Address ZIP Code: 35216

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1831549971 2016-06-20 2016-06-20 2151 OLD ROCKY RIDGE RD, SUITE 106, BIRMINGHAM, AL, 352167235, US 1912 AL HIGHWAY 157, CULLMAN, AL, 350580609, US

Contacts

Phone +1 205-989-1080
Fax 2059891087
Phone +1 256-737-2000

Authorized person

Name JULIE MCCARY
Role ADMINISTRATOR
Phone 2059891080

Taxonomy

Taxonomy Code 208VP0000X - Pain Medicine Physician
Is Primary Yes

Agent

Name Role Address
SHERRER, DANIEL Agent 2151 OLD ROCKY ROAD, SUITE 106BIRMINGHAM, AL 35216

Organizer

Name Role Address
SHERRER, DANIEL Organizer 2151 OLD ROCKY ROAD, SUITE 106BIRMINGHAM, AL 35216

Date of last update: 04 Aug 2024

Sources: Alabama Secretary of State