| Name: | Anesthesia Services of Birmingham, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Dissolved |
| Date of registration: | 01 Oct 1970 (54 years ago) |
| Date of dissolution: | 30 Sep 2024 |
| Entity Number: | 000-001-101 |
| Register Number: | 000001101 |
| Historical Names: |
Anesthesia Services of Birmingham, P.A.
|
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 2151 OLD ROCKY RIDGE RD STE 106BIRMINGHAM, AL 35216 |
| Registered Office Street Address ZIP Code: | 35216 |
| Authorized Capital: | $10,000 |
| Paid Share Capital: | $300 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184663064 | 2006-06-06 | 2022-07-06 | 2151 OLD ROCKY RIDGE RD, SUITE106, ATTN: LYNN BLASZCZAK, BIRMINGHAM, AL, 352167251, US | 2720 UNIVERSITY BLVD, ATTN: LYNN BLASZCZAK, BIRMINGHAM, AL, 352333408, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 205-989-1091 |
| Fax | 2059891087 |
| Phone | +1 205-933-7246 |
Authorized person
| Name | ANTHONY B. COOK |
| Role | BOARD MEMBER |
| Phone | 2059337246 |
Taxonomy
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ANESTHESIA SERVICES OF BIRMINGHAM, P.C. RETIREMENT SAVINGS PLAN | 2013 | 630588726 | 2015-06-17 | ANESTHESIA SERVICES OF BIRMINGHAM, P.C. | 120 | |||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||
| Role | Plan administrator |
| Date | 2015-06-17 |
| Name of individual signing | JULIE MCCARY |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1970-10-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2059891080 |
| Plan sponsor’s address | 2151 OLD ROCKY RIDGE ROAD SUITE 106, BIRMINGHAM, AL, 35216 |
Signature of
| Role | Plan administrator |
| Date | 2016-07-15 |
| Name of individual signing | JULIE MCCARY |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1970-10-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2059891080 |
| Plan sponsor’s address | 2151 OLD ROCKY RIDGE ROAD SUITE 106, BIRMINGHAM, AL, 35216 |
Signature of
| Role | Plan administrator |
| Date | 2014-07-08 |
| Name of individual signing | JULIE MCCARY |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1970-10-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2059891080 |
| Plan sponsor’s address | 2151 OLD ROCKY RIDGE ROAD SUITE 106, BIRMINGHAM, AL, 35216 |
Plan administrator’s name and address
| Administrator’s EIN | 630588726 |
| Plan administrator’s name | ANESTHESIA SERVICES OF BIRMINGHAM, P.C. |
| Plan administrator’s address | 2151 OLD ROCKY RIDGE ROAD SUITE 106, BIRMINGHAM, AL, 35216 |
| Administrator’s telephone number | 2059891080 |
Signature of
| Role | Plan administrator |
| Date | 2013-07-11 |
| Name of individual signing | JULIE MCCRARY |
| Name | Role |
|---|---|
| COOK, ANTHONY B | Agent |
| Name | Role |
|---|---|
| HABEEB, ALFRED | Incorporator |
| ELLIOTT, HIRAM R | Incorporator |
| STOUGH, JOHN A | Incorporator |
| RICH, ALVIN L | Incorporator |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 1991-09-25 | Capital Change | $3,000 Authorized $300 Paid In | $10,000 Authorized $300 Paid In |
| 1984-04-23 | Name Change | Anesthesia Services of Birmingham, P.A. | Anesthesia Services of Birmingham, P.C. |
Date of last update: 29 Jul 2024
Sources: Alabama Secretary of State
