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
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 | |||||||||||||||||||
|
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 |
Name | Role | Address |
---|---|---|
WILLIS, K DEAN | Agent | 600 WHITESPORT DRIVE SWHUNTSVILLE, AL 35801 |
Name | Role |
---|---|
ALABAMA PAIN CLINIC PC | Member |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State