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 |
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 | |||||||||||||||||
|
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 |
Name | Role |
---|---|
COOK, ANTHONY B. | Agent |
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