| Name: | Urology Associates of Mobile, L.L.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 20 Sep 2005 (19 years ago) (Companies founded in September 2005) |
| Date of dissolution: | 17 Jan 2012 |
| Entity Number: | 000-469-134 |
| Register Number: | 000469134 |
| ZIP code: | 36607 (Companies in Mobile, 36607) |
| County: | Mobile |
| Place of Formation: | Mobile County |
| Principal Address: | MOBILE, AL |
| Registered Office Street Address: | 168 MOBILE INFIRMARY BOULEVARDMOBILE, AL 36607 |
Activities
REAL ESTATE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1770723447 | 2009-02-20 | 2009-02-20 | 168 MOBILE INFIRMARY BLVD, MOBILE, AL, 366073510, US | 168 MOBILE INFIRMARY BLVD, MOBILE, AL, 366073510, US | |||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 251-633-3617 |
Authorized person
| Name | MRS. RITA WEBB |
| Role | OFC MGR |
| Phone | 2516333617 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | 00022814 |
| State | AL |
| Is Primary | Yes |
| Taxonomy Code | 174400000X - Specialist |
| License Number | 7939 |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 174400000X - Specialist |
| License Number | 13909 |
| State | AL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | BCBS AL |
| Number | 051541204 |
| State | AL |
| Issuer | BCBS ALABAMA |
| Number | 051541202 |
| State | AL |
| Issuer | BCBS AL |
| Number | 051541203 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| WHITE, CHARLES F JR | Member | 6701 AIRPORT BLVD #A203MOBILE, AL 36608 |
| FRANGOS, DINO N | Member | No data |
| STEPHENS, SELDEN H III | Member | No data |
| MEGGINSON, A GREER | Member | No data |
| OSWALT, G COLEMAN JR | Member | 201 LANIER AVENUEMOBILE, AL 36607 |
| Name | Role |
|---|---|
| OSWALT G COLEMAN JR | Agent |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
