| Name: | Liberty Park Anesthesia Services, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 12 Dec 2017 (7 years ago) |
| Date of dissolution: | 03 Oct 2024 |
| Entity Number: | 000-409-912 |
| Register Number: | 000409912 |
| County: | Shelby |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 1940 STONEGATE TRAIL SUITE 130BIRMINGHAM, AL 35242 |
| Registered Office Street Address ZIP Code: | 35242 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1669980504 | 2018-01-12 | 2018-08-08 | 1940 STONEGATE DR STE 30, VESTAVIA HLS, AL, 352422540, US | 1940 STONEGATE DR STE 30, VESTAVIA HLS, AL, 35242, US | |||||||||||||||||||||||
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| Phone | +1 205-977-9876 |
| Fax | 2059779976 |
Authorized person
| Name | CHRISTOPHER B HARMON |
| Role | OWNER |
| Phone | 2059779876 |
Taxonomy
| Taxonomy Code | 261QM2500X - Medical Specialty Clinic/Center |
| State | AL |
| Is Primary | Yes |
| Taxonomy Code | 367500000X - Certified Registered Nurse Anesthetist |
| State | AL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| HARMON, CHRISTOPHER B | Agent | 33 INVERNESS CENTER PARKWAYBIRMINGHAM, AL 35242 |
| Name | Role | Address |
|---|---|---|
| TROTTER, ZACHARY D | Organizer | 1901 SIXTH AVE NORTH STE 1400BIRMINGHAM, AL 35203 |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
