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Clinical Urology Associates, P.C.

Details

Name: Clinical Urology Associates, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 03 Aug 1971 (53 years ago) (Companies founded in August 1971)
Entity Number: 000-007-800
Register Number: 000007800
Historical Names: Gadsden Urology Associates, P. A.
Clinical Urology Associates, P. A.
ZIP code: 35903 (Companies in Etowah, 35903)
County: Etowah
Place of Formation: Etowah County
Principal Address: GADSDEN, AL
Registered Office Street Address: 713 GOODYEAR AVEGADSDEN, AL 35903
Authorized Capital: $30,000
Paid Share Capital: $15,000

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1396593323 2024-05-06 2024-07-16 713 GOODYEAR AVE, GADSDEN, AL, 359031156, US 1475 1ST AVE SW, JACKSONVILLE, AL, 362653337, US

Contacts
Phone +1 256-492-4040
Fax 2564924017

Authorized person
Name KOURTNEY MAYO
Role PRACTICE CREDENTIALING MANAGER
Phone 2564924040

Taxonomy
Taxonomy Code 208800000X - Urology Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CLINICAL UROLOGY ASSOCIATES, P. C. 401(K) PROFIT SHARING PLAN 2023 630597880 2024-08-23 CLINICAL UROLOGY ASSOCIATES, P.C. 38
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-07-01
Business code 621111
Sponsor’s telephone number 2054924040
Plan sponsor’s address 713 GOODYEAR AVE., GADSDEN, AL, 35903

Signature of
Role Plan administrator
Date 2024-08-22
Name of individual signing JENNIFER JACKSON
CLINICAL UROLOGY ASSOCIATES, P. C. 401(K) PROFIT SHARING PLAN 2022 630597880 2023-09-07 CLINICAL UROLOGY ASSOCIATES, P.C. 39
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-07-01
Business code 621111
Sponsor’s telephone number 2054924040
Plan sponsor’s address 713 GOODYEAR AVE., GADSDEN, AL, 35903

Signature of
Role Plan administrator
Date 2023-09-07
Name of individual signing JENNIFER JACKSON
CLINICAL UROLOGY ASSOCIATES, P. C. 401(K) PROFIT SHARING PLAN 2021 630597880 2022-09-09 CLINICAL UROLOGY ASSOCIATES, P.C. 36
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-07-01
Business code 621111
Sponsor’s telephone number 2054924040
Plan sponsor’s address 713 GOODYEAR AVE., GADSDEN, AL, 35903

Signature of
Role Plan administrator
Date 2022-09-09
Name of individual signing JENNIFER JACKSON
CLINICAL UROLOGY ASSOCIATES, P. C. 401(K) PROFIT SHARING PLAN 2020 630597880 2021-09-29 CLINICAL UROLOGY ASSOCIATES, P.C. 39
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-07-01
Business code 621111
Sponsor’s telephone number 2054924040
Plan sponsor’s address 713 GOODYEAR AVE., GADSDEN, AL, 35903

Signature of
Role Plan administrator
Date 2021-09-29
Name of individual signing JENNIFER JACKSON
CLINICAL UROLOGY ASSOCIATES, P. C. 401(K) PROFIT SHARING PLAN 2019 630597880 2020-09-08 CLINICAL UROLOGY ASSOCIATES, P.C. 39
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-07-01
Business code 621111
Sponsor’s telephone number 2054924040
Plan sponsor’s address 713 GOODYEAR AVE., GADSDEN, AL, 35903

Signature of
Role Plan administrator
Date 2020-09-08
Name of individual signing JENNIFER JACKSON
CLINICAL UROLOGY ASSOCIATES, P. C. 401(K) PROFIT SHARING PLAN 2018 630597880 2019-09-18 CLINICAL UROLOGY ASSOCIATES, P.C. 33
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-07-01
Business code 621111
Sponsor’s telephone number 2054924040
Plan sponsor’s address 713 GOODYEAR AVE., GADSDEN, AL, 35903

Signature of
Role Plan administrator
Date 2019-09-18
Name of individual signing JENNIFER JACKSON
CLINICAL UROLOGY ASSOCIATES, P. C. 401(K) PROFIT SHARING PLAN 2017 630597880 2018-09-14 CLINICAL UROLOGY ASSOCIATES, P.C. 31
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-07-01
Business code 621111
Sponsor’s telephone number 2054924040
Plan sponsor’s address 713 GOODYEAR AVE., GADSDEN, AL, 35903

Signature of
Role Plan administrator
Date 2018-09-14
Name of individual signing JOHN PIRANI
CLINICAL UROLOGY ASSOCIATES, P. C. 401(K) PROFIT SHARING PLAN 2016 630597880 2017-08-25 CLINICAL UROLOGY ASSOCIATES, P.C. 26
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-07-01
Business code 621111
Sponsor’s telephone number 2054924040
Plan sponsor’s address 713 GOODYEAR AVE., GADSDEN, AL, 35903

Signature of
Role Plan administrator
Date 2017-08-25
Name of individual signing JOHN PIRANI
CLINICAL UROLOGY ASSOCIATES, P. C. 401(K) PROFIT SHARING PLAN 2015 630597880 2016-08-30 CLINICAL UROLOGY ASSOCIATES, P.C. 30
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-07-01
Business code 621111
Sponsor’s telephone number 2054924040
Plan sponsor’s address 713 GOODYEAR AVE., GADSDEN, AL, 35903

Signature of
Role Plan administrator
Date 2016-08-30
Name of individual signing JOHN PIRANI
CLINICAL UROLOGY ASSOCIATES, P. C. 401(K) PROFIT SHARING PLAN 2014 630597880 2015-07-23 CLINICAL UROLOGY ASSOCIATES, P.C. 31
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-07-01
Business code 621111
Sponsor’s telephone number 2054924040
Plan sponsor’s address 713 GOODYEAR AVE., GADSDEN, AL, 35903

Signature of
Role Plan administrator
Date 2015-07-23
Name of individual signing JOHN PIRANI

Agent

Name Role Address
PIRANI, JOHN F Agent 300 MEDICAL CENTER DR SUITE 200GADSDEN, AL 35901

Incorporator

Name Role
WALKER, GEORGE P III MD Incorporator

Events

Event Date Event Type Old Value New Value
1990-03-20 Name Merged No data Horizon Realty, Inc.
1990-03-08 Name Change Clinical Urology Associates, P. A. Clinical Urology Associates, P.C.
1976-11-01 Name Change Gadsden Urology Associates, P. A. Clinical Urology Associates, P. A.

Related by officers

PIRANI, JOHN F

STREAMLINE UROLOGY, LLC

Related by address

GADSDEN, AL

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Date of last update: 30 Jul 2024

Sources: Alabama Secretary of State

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