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Lakeshore Sleep Disorder Center, LLC

Details

Name: Lakeshore Sleep Disorder Center, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 01 Nov 2006 (18 years ago) (Companies founded in November 2006)
Date of dissolution: 27 Dec 2013
Entity Number: 000-486-022
Register Number: 000486022
ZIP code: 35501 (Companies in Walker, 35501)
County: Walker
Place of Formation: Walker County
Principal Address: JASPER, AL
Registered Office Street Address: 406 MEDICAL CENTER DRJASPER, AL 35501

Activities SLEEP DISORDER CENTER

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1013033356 2007-03-21 2020-08-22 PO BOX 689, JASPER, AL, 355020689, US 1280 COLUMBIANA RD, SUITE 102, BIRMINGHAM, AL, 352161642, US

Contacts

Phone +1 205-221-8200
Phone +1 205-945-6711

Authorized person

Name MR. STEWART H PACE
Role SR VP OF CORPORATE DEVELOPMENT
Phone 2054147525

Taxonomy

Taxonomy Code 261QS1200X - Sleep Disorder Diagnostic Clinic/Center
Is Primary Yes

Agent

Name Role
MERRICK, WILLIAM C Agent

Member

Name Role Address
MED-SOUTH INC Member 406 MEDICAL CENTER DRIVEJASPER, AL 35501

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State