Name: | Vascular and Interventional Specialists of Alabama, PLLC |
Jurisdiction: | Alabama |
Legal type: | Domestic Professional Limited Liability Company |
Status: | Exists |
Date of registration: | 03 Apr 2024 (8 months ago) (Companies founded in April 2024) |
Entity Number: | 001-129-654 |
Register Number: | 001129654 |
ZIP code: | 36104 (Companies in Montgomery, 36104) |
County: | Montgomery |
Place of Formation: | Alabama |
Registered Office Street Address: | 2 NORTH JACKSON STREET, SUITE 605MONTGOMERY, AL 36104 |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1073345724 | 2024-08-19 | 2024-08-19 | 6800 ELAINA LN, TUSCALOOSA, AL, 354063211, US | 120 CAHABA VALLEY PKWY STE 200, PELHAM, AL, 351241179, US | |||||||||||||||||
|
Phone | +1 205-907-2757 |
Authorized person
Name | DR. LOUIS WILLIAM LUCAS |
Role | PHYSICIAN/OWNER |
Phone | 2059072757 |
Taxonomy
Taxonomy Code | 2085R0202X - Diagnostic Radiology Physician |
Is Primary | No |
Taxonomy Code | 2085R0204X - Vascular & Interventional Radiology Physician |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
C T CORPORATION SYSTEM | Agent | 2 NORHT JACKSON STREET SUITE 605MONTGOMERY, AL 36104 |
Date of last update: 18 Aug 2024
Sources: Alabama Secretary of State