Mobile Urology Group, P.A.

Details

Name:	Mobile Urology Group, P.A.
Jurisdiction:	Alabama
Legal type:	Domestic Professional Association
Status:	Dissolved
Date of registration:	07 Jan 1970 (55 years ago) (Companies founded in January 1970)
Date of dissolution:	22 Dec 2011
Entity Number:	000-012-986
Register Number:	000012986
Place of Formation:	Mobile County
Principal Address:	3715 DAUPHIN STREET SUITE 100 BLDG 3MOBILE, AL 36608-1771

NPI

Enumeration Date

Last Update Date

Mailing Address

Practice Location Address

1164407151

2005-12-13

2008-01-28

101 MEMORIAL HOSPITAL DR, SUITE 100, MOBILE, AL, 366081786, US

Contacts

Phone	+1 251-343-9090
Fax	2513801015

Authorized person

Taxonomy

Taxonomy Code	174400000X - Specialist
Is Primary	Yes

Other Provider Identifiers

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

MOBILE UROLOGY GROUP, P.A. 401(K) PROFIT SHARING PLAN

2011

630581095

2012-10-16

MOBILE UROLOGY GROUP, P.A.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1970-09-01
Business code	621111
Sponsor’s telephone number	2513439090
Plan sponsor’s address	101 MEMORIAL HOSPITAL DRIVE, SUITE 100, MOBILE, AL, 36608

Plan administrator’s name and address

Administrator’s EIN	630581095
Plan administrator’s name	MOBILE UROLOGY GROUP, P.A.
Plan administrator’s address	101 MEMORIAL HOSPITAL DRIVE, SUITE 100, MOBILE, AL, 36608
Administrator’s telephone number	2513439090

Signature of

Date of last update: 30 Jul 2024