| Name: | Montgomery Pathology Associates, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Dissolved |
| Date of registration: | 29 May 1989 (35 years ago) (Companies founded in May 1989) |
| Date of dissolution: | 12 Dec 2012 |
| Entity Number: | 000-131-177 |
| Register Number: | 000131177 |
| ZIP code: | 36104 (Companies in Montgomery, 36104) |
| County: | Montgomery |
| Place of Formation: | Montgomery County |
| Registered Office Street Address: | 303 SOUTH RIPLEY STREET SUITE 6400MONTGOMERY, AL 36104 |
| Authorized Capital: | $5,000 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558441998 | 2006-10-17 | 2020-08-22 | PO BOX 159, COOSADA, AL, 360200159, US | 200 CEDAR DRIVE, COOSADA, AL, 360200159, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 334-285-3888 |
| Fax | 3342853999 |
Authorized person
| Name | DANIEL GUBIN |
| Role | BUSINESS MANAGER |
| Phone | 3342853888 |
Taxonomy
| Taxonomy Code | 207ZP0102X - Anatomic Pathology & Clinical Pathology Physician |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MONTGOMERY PATHOLOGY ASSOCIATES PROFIT SHARING PLN | 2010 | 631001589 | 2011-10-28 | MONTGOMERY PATHOLOGY ASSOCIATES | 2 | |||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||
| Administrator’s EIN | 631001589 |
| Plan administrator’s name | MONTGOMERY PATHOLOGY ASSOCIATES |
| Plan administrator’s address | PO BOX 159, COOSADA, AL, 360200159 |
| Administrator’s telephone number | 3342653034 |
Signature of
| Role | Plan administrator |
| Date | 2011-08-30 |
| Name of individual signing | DANIEL GUBIN MD |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1995-01-01 |
| Business code | 621510 |
| Sponsor’s telephone number | 3342653034 |
| Plan sponsor’s address | PO BOX 159, COOSADA, AL, 360200159 |
Plan administrator’s name and address
| Administrator’s EIN | 631001589 |
| Plan administrator’s name | MONTGOMERY PATHOLOGY ASSOCIATES |
| Plan administrator’s address | PO BOX 159, COOSADA, AL, 360200159 |
| Administrator’s telephone number | 3342653034 |
Signature of
| Role | Plan administrator |
| Date | 2010-09-02 |
| Name of individual signing | DANIEL GUBIN MD |
| Name | Role |
|---|---|
| GUBIN, NALINI MD | Agent |
| Name | Role |
|---|---|
| GUBIN, NALINI MD | Incorporator |
| ADAMS, ROBERT B MD | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
