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The Birmingham Pain Center, Inc.

Details

Name: The Birmingham Pain Center, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 15 May 1995 (29 years ago)
Entity Number: 000-171-970
Register Number: 000171970
County: Shelby
Place of Formation: Jefferson County
Principal Address: BIRMINGHAM, AL
Registered Office Street Address: 3705 CUMBERLAND TRACEBIRMINGHAM, AL 35242
Registered Office Street Address ZIP Code: 35242
Authorized Capital: $10,000
Paid Share Capital: ----

Activities ANY LAWFUL ACTIVITY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1881132553 2017-02-02 2017-10-31 4515 SOUTHLAKE PKWY STE 200, HOOVER, AL, 352443319, US 4515 SOUTHLAKE PKWY STE 200, HOOVER, AL, 352443319, US

Contacts
Phone +1 205-313-7246
Fax 2059391911

Authorized person
Name LUCY L GIBSON
Role ADMINISTRATOR
Phone 2053137246

Taxonomy
Taxonomy Code 291U00000X - Clinical Medical Laboratory
License Number 16939
State AL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BIRMINGHAM PAIN CENTER 401(K) PLAN 2023 631146219 2024-07-31 THE BIRMINGHAM PAIN CENTER, INC. 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 2053137252
Plan sponsor’s address 4515 SOUTHLAKE PARKWAY SUITE 200, BIRMINGHAM, AL, 352443319

Signature of
Role Plan administrator
Date 2024-07-31
Name of individual signing LUCY GIBSON
Role Employer/plan sponsor
Date 2024-07-31
Name of individual signing LUCY GIBSON
BIRMINGHAM PAIN CENTER 401(K) PLAN 2022 631146219 2023-09-15 THE BIRMINGHAM PAIN CENTER, INC. 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 2053137252
Plan sponsor’s address 4515 SOUTHLAKE PARKWAY SUITE 200, BIRMINGHAM, AL, 352443319

Signature of
Role Plan administrator
Date 2023-09-15
Name of individual signing LUCY GIBSON
Role Employer/plan sponsor
Date 2023-09-15
Name of individual signing LUCY GIBSON
BIRMINGHAM PAIN CENTER 401(K) PLAN 2021 631146219 2022-07-14 THE BIRMINGHAM PAIN CENTER, INC. 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 2053137252
Plan sponsor’s address 4515 SOUTHLAKE PARKWAY SUITE 200, BIRMINGHAM, AL, 352443319

Signature of
Role Plan administrator
Date 2022-07-14
Name of individual signing LUCY GIBSON
Role Employer/plan sponsor
Date 2022-07-14
Name of individual signing LUCY GIBSON
BIRMINGHAM PAIN CENTER 401(K) PLAN 2020 631146219 2021-08-12 THE BIRMINGHAM PAIN CENTER, INC. 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 2053137252
Plan sponsor’s address 4515 SOUTHLAKE PARKWAY SUITE 200, BIRMINGHAM, AL, 352443319

Signature of
Role Plan administrator
Date 2021-08-12
Name of individual signing LUCY GIBSON
Role Employer/plan sponsor
Date 2021-08-12
Name of individual signing LUCY GIBSON
BIRMINGHAM PAIN CENTER 401(K) PLAN 2019 631146219 2020-06-05 THE BIRMINGHAM PAIN CENTER, INC. 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 2053137252
Plan sponsor’s address 4515 SOUTHLAKE PARKWAY, SUITE 200, BIRMINGHAM, AL, 352443319

Signature of
Role Plan administrator
Date 2020-06-05
Name of individual signing LUCY GIBSON
Role Employer/plan sponsor
Date 2020-06-05
Name of individual signing LUCY GIBSON
BIRMINGHAM PAIN CENTER 401(K) PLAN 2018 631146219 2019-07-24 THE BIRMINGHAM PAIN CENTER, INC. 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 2053137252
Plan sponsor’s address 4515 SOUTHLAKE PARKWAY, SUITE 200, BIRMINGHAM, AL, 352443319

Signature of
Role Plan administrator
Date 2019-07-24
Name of individual signing LUCY GIBSON
Role Employer/plan sponsor
Date 2019-07-24
Name of individual signing LUCY GIBSON
BIRMINGHAM PAIN CENTER 401(K) PLAN 2017 631146219 2018-07-30 THE BIRMINGHAM PAIN CENTER, INC. 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 2053137252
Plan sponsor’s address 4515 SOUTHLAKE PARKWAY, SUITE 200, BIRMINGHAM, AL, 352443319

Signature of
Role Plan administrator
Date 2018-07-30
Name of individual signing LUCY GIBSON
Role Employer/plan sponsor
Date 2018-07-30
Name of individual signing LUCY GIBSON
BIRMINGHAM PAIN CENTER 401(K) PLAN 2016 631146219 2017-07-27 THE BIRMINGHAM PAIN CENTER, INC. 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 2053137252
Plan sponsor’s address 4515 SOUTHLAKE PARKWAY STE 200, BIRMINGHAM, AL, 352443319

Signature of
Role Plan administrator
Date 2017-07-27
Name of individual signing LUCY GIBSON
Role Employer/plan sponsor
Date 2017-07-27
Name of individual signing LUCY GIBSON
BIRMINGHAM PAIN CENTER 401(K) PLAN 2015 631146219 2016-06-06 THE BIRMINGHAM PAIN CENTER, INC. 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 2053137252
Plan sponsor’s address 7500 HUGH DANIEL DR STE 300, BIRMINGHAM, AL, 352427146

Signature of
Role Plan administrator
Date 2016-06-06
Name of individual signing LUCY GIBSON
Role Employer/plan sponsor
Date 2016-06-06
Name of individual signing LUCY GIBSON
BIRMINGHAM PAIN CENTER 401(K) PLAN 2014 631146219 2015-06-03 THE BIRMINGHAM PAIN CENTER, INC. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 2053137252
Plan sponsor’s address 7500 HUGH DANIEL DR STE 300, BIRMINGHAM, AL, 352427146

Signature of
Role Plan administrator
Date 2015-06-03
Name of individual signing LUCY GIBSON
Role Employer/plan sponsor
Date 2015-06-03
Name of individual signing LUCY GIBSON

Agent

Name Role
GIBSON, MICHAEL G Agent

Incorporator

Name Role
GIBSON, MICHAEL G Incorporator

Related by officers

GIBSON, MICHAEL G

M & L ASSOCIATES, INC. MICHAEL G. GIBSON, P.C. Southlake Medical Office Partners, LLC

Related by address

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3705 CUMBERLAND TRACEBIRMINGHAM, AL 35242

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Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State

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