Name: | Vestavia Surgical Center, LLC |
Jurisdiction: | Alabama |
Legal type: | Domestic Limited Liability Company |
Status: | Dissolved |
Date of registration: | 25 Feb 2010 (15 years ago) |
Date of dissolution: | 25 Feb 2020 |
Entity Number: | 000-443-871 |
Register Number: | 000443871 |
County: | Jefferson |
Place of Formation: | Jefferson County |
Principal Address: | BIRMINGHAM, AL |
Registered Office Street Address: | 700 MONTGOMERY HWY STE 210BIRMINGHAM, AL 35216 |
Registered Office Street Address ZIP Code: | 35216 |
Activities
MEDICAL PRACTICE
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1114367604 | 2013-06-27 | 2013-06-27 | 700 MONTGOMERY HWY, SUITE 210, VESTAVIA, AL, 352161866, US | 700 MONTGOMERY HWY, SUITE 210, VESTAVIA, AL, 352161866, US | |||||||||||||||||||
|
Phone | +1 205-823-0150 |
Fax | 2058235218 |
Authorized person
Name | DR. JOHN R KINGSLEY |
Role | PRESIDENT & OWNER |
Phone | 2058230151 |
Taxonomy
Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
License Number | 443871 |
State | AL |
Is Primary | Yes |
Name | Role |
---|---|
KINGSLEY, JOHN R | Agent |
Name | Role |
---|---|
KINGSLEY, JOHN R | Member |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State