| Entity Name: | ALPHA-1 MEDICAL SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 20 Apr 2007 (18 years ago) |
| Date of dissolution: | 28 Sep 2012 (12 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2012 (12 years ago) |
| Document Number: | P07000048656 |
| FEI/EIN Number | 208888840 |
| Address: | 5726 SE CR-252, LAKE CITY, FL, 32025, US |
| Mail Address: | 5726 SE CR-252, LAKE CITY, FL, 32025, US |
| ZIP code: | 32025 |
| County: | Columbia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1740477561 | 2007-09-25 | 2007-09-25 | 1037 W US HIGHWAY 90 STE 120, LAKE CITY, FL, 320553740, US | 1037 W US HIGHWAY 90 STE 120, LAKE CITY, FL, 320553740, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 386-961-9113 |
Authorized person
| Name | MR. MICHAEL WELTON HEPPNER |
| Role | PRESIDENT |
| Phone | 3867554734 |
Taxonomy
| Taxonomy Code | 291U00000X - Clinical Medical Laboratory |
| License Number | HHC7803 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HEPPNER MICHAEL W | Agent | 5726 SE CR 252, LAKE CITY, FL, 32025 |
| Name | Role | Address |
|---|---|---|
| HEPPNER MICHAEL W | President | 5726 SE CR 252, LAKE CITY, FL, 32025 |
| Name | Role | Address |
|---|---|---|
| HAYDEN DONALD B | Vice President | 1735 NW FRONTIER DRIVE, LAKE CITY, FL, 32055 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| REINSTATEMENT | 2009-10-30 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-10-30 | 5726 SE CR-252, LAKE CITY, FL 32025 | No data |
| CHANGE OF MAILING ADDRESS | 2009-10-30 | 5726 SE CR-252, LAKE CITY, FL 32025 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2011-08-31 |
| ANNUAL REPORT | 2010-04-29 |
| Reinstatement | 2009-10-30 |
| Domestic Profit | 2007-04-20 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
