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Alabama Pain Center, L.L.C.

Details

Name: Alabama Pain Center, L.L.C.
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 16 Aug 2000 (24 years ago)
Date of dissolution: 06 Oct 2022
Entity Number: 000-671-294
Register Number: 000671294
County: Madison
Place of Formation: Madison County
Principal Address: HUNTSVILLE, AL
Registered Office Street Address: 964 AIRPORT RD STE 1HUNTSVILLE, AL 35802
Registered Office Street Address ZIP Code: 35802

Activities PROVIDE PROFESSIONAL MEDICAL SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1396096665 2012-09-27 2012-09-27 600 WHITESPORT CIR SW, HUNTSVILLE, AL, 358016495, US 600 WHITESPORT CIR SW, HUNTSVILLE, AL, 358016495, US

Contacts

Phone +1 256-882-2003
Fax 2567054630

Authorized person

Name MRS. LASONYA NIX
Role BILLING DORECTOR
Phone 2568822003

Taxonomy

Taxonomy Code 225100000X - Physical Therapist
License Number PTH6588
State AL
Is Primary Yes

Agent

Name Role Address
WILLIS, K DEAN Agent 600 WHITESPORT DRIVE SWHUNTSVILLE, AL 35801

Member

Name Role
ALABAMA PAIN CLINIC PC Member

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State