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ASB Pain Services, LLC

Details

Name: ASB Pain Services, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 01 Mar 2018 (7 years ago)
Date of dissolution: 03 Oct 2023
Entity Number: 000-511-433
Register Number: 000511433
County: Jefferson
Place of Formation: Jefferson County
Registered Office Street Address: 2151 OLD ROCKY RIDGE ROAD SUITE 106BIRMINGHAM, AL 35216
Registered Office Street Address ZIP Code: 35216

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1043714322 2018-03-21 2022-07-06 2151 OLD ROCKY RIDGE RD, STE 106, ATTN: LYNN BLASZCZAK, BIRMINGHAM, AL, 352167251, US 3316 HIGHWAY 280, ATTN: LYNN BLASZCZAK, ALEXANDER CITY, AL, 350103369, US

Contacts

Phone +1 205-989-1091
Fax 2059891087
Phone +1 256-329-7100

Authorized person

Name ANTHONY B. COOK
Role BOARD MEMBER
Phone 2059337246

Taxonomy

Taxonomy Code 207LP2900X - Pain Medicine (Anesthesiology) Physician
Is Primary Yes

Agent

Name Role
COOK, ANTHONY B. Agent

Organizer

Name Role Address
ANESTHESIA SERVICES OF BIRMINGHAM PC Organizer 2151 OLD ROCKY RIDGE ROAD SUITE 106BIRMINGHAM, AL 35216

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State