| Name: | Medical West Imaging Center, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 02 Jul 2004 (20 years ago) (Companies founded in July 2004) |
| Date of dissolution: | 08 Aug 2019 |
| Entity Number: | 000-453-138 |
| Register Number: | 000453138 |
| Historical Names: |
Imaging Center West LLC
|
| ZIP code: | 35022 (Companies in Jefferson, 35022) |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Principal Address: | BIRMINGHAM, AL |
| Registered Office Street Address: | 995 9TH AVENUE SWBESSEMER, AL 35022 |
Activities
PROVIDE MEDICAL SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013960053 | 2006-05-19 | 2008-05-08 | 995 9TH AVE SW, BESSEMER, AL, 350224527, US | 737 MEMORIAL DR, BESSEMER, AL, 350226029, US | |||||||||||||||||||||||||||||
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| Phone | +1 205-481-7670 |
| Fax | 2054817397 |
| Phone | +1 205-428-9120 |
| Fax | 2054289248 |
Authorized person
| Name | MR. LEE MORRISON |
| Role | ADMINISTRATOR |
| Phone | 2054289120 |
Taxonomy
| Taxonomy Code | 261QM1200X - Magnetic Resonance Imaging (MRI) Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 261QR0200X - Radiology Clinic/Center |
| Is Primary | No |
Other Provider Identifiers
| Issuer | INDEPENDENT PHYSIOLOGICAL |
| Number | 11914 |
| State | AL |
| Name | Role |
|---|---|
| PENNINGTON, KEITH | Agent |
| Name | Role | Address |
|---|---|---|
| DOUGHTY, RICHARD | Member | 1019 N RANGE AVE SUITE DDENHAM SPRINGS, LA 70726 |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2007-11-08 | Name Change | Imaging Center West LLC | Medical West Imaging Center, LLC |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
