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) |
Date of dissolution: | 27 Dec 2013 |
Entity Number: | 000-486-022 |
Register Number: | 000486022 |
County: | Walker |
Place of Formation: | Walker County |
Principal Address: | JASPER, AL |
Registered Office Street Address: | 406 MEDICAL CENTER DRJASPER, AL 35501 |
Registered Office Street Address ZIP Code: | 35501 |
Activities
SLEEP DISORDER CENTER
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 | |||||||||||||||
|
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 |
Name | Role |
---|---|
MERRICK, WILLIAM C | Agent |
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