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Inform Diagnostics, Inc.

Details

Name: Inform Diagnostics, Inc.
Jurisdiction: Alabama
Legal type: Foreign Corporation
Status: Exists
Date of registration: 14 Mar 1996 (29 years ago) (Companies founded in March 1996)
Entity Number: 000-377-299
Register Number: 000377299
Historical Names: Miraca Life Sciences, Inc.
ZIP code: 36104 (Companies in Montgomery, 36104)
County: Montgomery
Place of Formation: Delaware
Principal Address: 6655 N MACARTHUR BLVDIRVING, TX 75039
Registered Office Street Address: 2 NORTH JACKSON STREET STE 605MONTGOMERY, AL 36104

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1790219137 2017-04-12 2018-04-27 6655 N MACARTHUR BLVD, ATTN: MANAGED CARE DEPARTMENT, IRVING, TX, 750392443, US 101B VILLA DR, SUITE 108, DAPHNE, AL, 365264653, US

Contacts

Phone +1 214-596-7031
Phone +1 800-979-8292

Authorized person

Name BONNIE SUE PIRTZ
Role VP, MANAGED CARE
Phone 4803092674

Taxonomy

Taxonomy Code 207ZP0102X - Anatomic Pathology & Clinical Pathology Physician
Is Primary No
Taxonomy Code 291U00000X - Clinical Medical Laboratory
Is Primary Yes

Agent

Name Role Address
C T CORPORATION SYSTEM Agent 2 NORHT JACKSON STREET SUITE 605MONTGOMERY, AL 36104

Events

Event Date Event Type Old Value New Value
2018-05-18 Name Change Miraca Life Sciences, Inc. Inform Diagnostics, Inc.

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State