| Name: | Precision Vein Therapeutics, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 17 Nov 2017 (7 years ago) |
| Entity Number: | 000-408-516 |
| Register Number: | 000408516 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 3504 COLD HARBOR LANEBIRMINGHAM, AL 35223 |
| Registered Office Street Address ZIP Code: | 35223 |
| Authorized Capital: | 10000 @ $0.01PV |
Activities
OWN/OPERATE CLINIC TO PROVIDE PROFESSIONAL MEDICAL SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1003323619 | 2018-01-04 | 2018-02-22 | 3504 COLD HARBOR LN, MOUNTAIN BRK, AL, 352231636, US | 4112 WATERMELON RD, NORTHPORT, AL, 35473, US | |||||||||||||||||||||||||
|
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| Phone | +1 205-710-3800 |
Authorized person
| Name | MICHAEL ROSS BARLOW |
| Role | OWNER |
| Phone | 2052436264 |
Taxonomy
| Taxonomy Code | 202K00000X - Phlebology Physician |
| Is Primary | Yes |
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| Is Primary | No |
| Taxonomy Code | 2085R0202X - Diagnostic Radiology Physician |
| Is Primary | No |
| Taxonomy Code | 261QM2500X - Medical Specialty Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| EVERLEY, BROOKE A | Incorporator | 2100 1ST AVE N SUITE 600BIRMINGHAM, AL 35203 |
| Name | Role | Address |
|---|---|---|
| BARLOW, POLLY ANNA | Director | 3504 COLD HARBOR LANEBIRMINGHAM, AL 35223 |
| BARLOW, MICHAEL R | Director | 3504 COLD HARBOR LANEBIRMINGHAM, AL 35223 |
| Name | Role | Address |
|---|---|---|
| BARLOW, MICHAEL R | Agent | 3504 COLD HARBOR LANEBIRMINGHAM, AL 35223 |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
