| Name: | UAB Medical West ASC LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 12 Dec 2003 (21 years ago) (Companies founded in December 2003) |
| Date of dissolution: | 31 Aug 2010 |
| Entity Number: | 000-695-802 |
| Register Number: | 000695802 |
| ZIP code: | 35021 (Companies in Jefferson, 35021) |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Principal Address: | BESSEMER, AL |
| Registered Office Street Address: | 995 9TH AVE SWBESSEMER, AL 35021 |
Activities
DEVELOP/OPERATE AN AMBULATORY SURGERY CENTER ON UAB MEDICAL WEST
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366466781 | 2006-07-27 | 2020-08-22 | 995 9TH AVE SW, BESSEMER, AL, 350224527, US | 995 9TH AVE SW, BESSEMER, AL, 350224527, US | |||||||||||||||||||
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| Phone | +1 205-481-7268 |
| Fax | 2054817595 |
Authorized person
| Name | KEITH PENNINGTON |
| Role | COO |
| Phone | 2054817268 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| License Number | AL2004018 |
| State | AL |
| Is Primary | Yes |
| CIK number | Mailing Address | Business Address | Phone | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1323127 | 995 9TH AVENUE SW, BESSEMER, AL, 35021 | 995 9TH AVENUE SW, BESSEMER, AL, 35021 | 2054817000 | |||||||||
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| Form type | REGDEX |
| File number | 021-75707 |
| Filing date | 2005-04-05 |
| File | View File |
| Name | Role |
|---|---|
| EAGAR, DAN | Agent |
| Name | Role |
|---|---|
| UAB MEDICAL WEST | Member |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
