| Name: | MedQuest Montgomery, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 14 Aug 2001 (23 years ago) (Companies founded in August 2001) |
| Date of dissolution: | 12 Jun 2024 |
| Entity Number: | 000-677-128 |
| Register Number: | 000677128 |
| Historical Names: |
Montgomery Open MRI, LLC
|
| ZIP code: | 36104 (Companies in Montgomery, 36104) |
| County: | Montgomery |
| Place of Formation: | Montgomery County |
| Registered Office Street Address: | 641 SOUTH LAWRENCE STREETMONTGOMERY, AL 36104 |
Activities
DIAGNOSTIC IMAGING SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1699733394 | 2006-05-02 | 2013-09-23 | 3480 PRESTON RIDGE RD STE 600, CREDENTIALING DEPT, ALPHARETTA, GA, 300055462, US | 249 WINTON M BLOUNT LOOP, MONTGOMERY, AL, 361173507, US | |||||||||||||||||||||||||||
|
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| Phone | +1 770-300-0101 |
| Fax | 7703000429 |
| Phone | +1 334-213-0036 |
| Fax | 3342130166 |
Authorized person
| Name | MR. DANIEL J SCHAEFER |
| Role | COO |
| Phone | 7703000101 |
Taxonomy
| Taxonomy Code | 2085R0202X - Diagnostic Radiology Physician |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 051551290 |
| State | AL |
| CIK number | Mailing Address | Business Address | Phone | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1198184 | 249 WINTON BLOUNT LOOP, MONTGOMERY, AL, 36117 | 249 WINTON BLOUNT LOOP, MONTGOMERY, AL, 36117 | 6789927252 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Form type | EFFECT |
| File number | 333-135818-21 |
| Filing date | 2006-08-01 |
| File | View File |
Filings since 2006-07-17
| Form type | S-1 |
| File number | 333-135818-21 |
| Filing date | 2006-07-17 |
| File | View File |
Filings since 2004-05-13
| Form type | S-1/A |
| File number | 333-114962-20 |
| Filing date | 2004-05-13 |
| File | View File |
Filings since 2004-04-28
| Form type | S-1 |
| File number | 333-114962-20 |
| Filing date | 2004-04-28 |
| File | View File |
Filings since 2003-04-17
| Form type | POS AM |
| File number | 333-101399-24 |
| Filing date | 2003-04-17 |
| File | View File |
Filings since 2003-02-14
| Form type | S-4/A |
| File number | 333-101399-24 |
| Filing date | 2003-02-14 |
| File | View File |
Filings since 2003-02-13
| Form type | S-4/A |
| File number | 333-101399-24 |
| Filing date | 2003-02-13 |
| File | View File |
Filings since 2003-01-24
| Form type | S-4/A |
| File number | 333-101399-24 |
| Filing date | 2003-01-24 |
| File | View File |
Filings since 2002-12-31
| Form type | S-4/A |
| File number | 333-101399-24 |
| Filing date | 2002-12-31 |
| File | View File |
Filings since 2002-11-22
| Form type | S-4 |
| File number | 333-101399-24 |
| Filing date | 2002-11-22 |
| File | View File |
| Name | Role | Address |
|---|---|---|
| CORPORATION SERVICE COMPANY INC | Agent | 251 LITTLE FALLS DRIVEWILMINGTON, DE 19808 |
| Name | Role |
|---|---|
| IMAGING SERVICES OF ALABAMA INC | Member |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2015-03-10 | Name Change | Montgomery Open MRI, LLC | MedQuest Montgomery, LLC |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
