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Cullman Radiation Therapy Services, P.C.

Details

Name: Cullman Radiation Therapy Services, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 20 Mar 1998 (27 years ago)
Entity Number: 000-194-767
Register Number: 000194767
County: Cullman
Place of Formation: Cullman County
Principal Address: CULLMAN, AL
Registered Office Street Address: 1811 PARKWAY CIRCLECULLMAN, AL 35058
Registered Office Street Address ZIP Code: 35058
Authorized Capital: $10

Activities PRACTICE OF MEDICINE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1205937315 2006-09-25 2018-05-17 PO BOX BOX 11407 DEPARTMENT 8056, BIRMINGHAM, AL, 352468056, US 1811 PARK WAY CIR, CULLMAN, AL, 35058, US

Contacts
Phone +1 256-350-4855
Phone +1 256-737-2285
Fax 2567372287

Authorized person
Name VINCENT KAROLEWICS
Role PRESIDENT
Phone 2567372285

Taxonomy
Taxonomy Code 2085R0001X - Radiation Oncology Physician
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 529803000
State AL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CULLMAN RADIATION THERAPY SERVICES, P. C. EMPLOYEES SAVINGS 2019 631196960 2020-09-11 CULLMAN RADIATION THERAPY SERVICES, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-07-01
Business code 621399
Sponsor’s telephone number 2567372295
Plan sponsor’s address 1811 PARKWAY CIRCLE, CULLMAN, AL, 350583628

Signature of
Role Plan administrator
Date 2020-09-11
Name of individual signing VINCENT KAROLEWICS
Role Employer/plan sponsor
Date 2020-09-11
Name of individual signing VINCENT KAROLEWICS
CULLMAN RADIATION THERAPY SERVICES, P. C. EMPLOYEES SAVINGS 2018 631196960 2019-10-11 CULLMAN RADIATION THERAPY SERVICES, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-07-01
Business code 621399
Sponsor’s telephone number 2567372295
Plan sponsor’s address 1811 PARKWAY CIRCLE, CULLMAN, AL, 350583628

Signature of
Role Plan administrator
Date 2019-10-11
Name of individual signing VINCENT KAROLEWICS
Role Employer/plan sponsor
Date 2019-10-11
Name of individual signing VINCENT KAROLEWICS
CULLMAN RADIATION THERAPY SERVICES, P.C. EMPLOYEES SAVINGS TRUST 2017 631196960 2018-10-08 CULLMAN RADIATION THERAPY SERVICES, P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-07-01
Business code 621399
Sponsor’s telephone number 2567372295
Plan sponsor’s address 1811 PARKWAY CIRCLE, CULLMAN, AL, 35058

Signature of
Role Plan administrator
Date 2018-10-08
Name of individual signing VINCENT KAROLEWICS
Role Employer/plan sponsor
Date 2018-10-08
Name of individual signing VINCENT KAROLEWICS
CULLMAN RADIATION THERAPY SERVICES, P.C. EMPLOYEES SAVINGS TRUST 2016 631196960 2017-05-08 CULLMAN RADIATION THERAPY SERVICES, P.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-07-01
Business code 621399
Sponsor’s telephone number 2567372295
Plan sponsor’s address 1811 PARKWAY CIRCLE, CULLMAN, AL, 35058

Signature of
Role Plan administrator
Date 2017-05-08
Name of individual signing VINCENT T. KAROLEWICS
CULLMAN RADIATION THERAPY SERVICES, P.C. EMPLOYEES SAVINGS TRUST 2015 631196960 2016-06-27 CULLMAN RADIATION THERAPY SERVICES, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-07-01
Business code 621399
Sponsor’s telephone number 2567372295
Plan sponsor’s address 1811 PARKWAY CIRCLE, CULLMAN, AL, 35058

Signature of
Role Plan administrator
Date 2016-06-27
Name of individual signing VINCENT T. KAROLEWICS
CULLMAN RADIATION THERAPY SERVICES, P.C. EMPLOYEES SAVINGS TRUST 2014 631196960 2015-04-20 CULLMAN RADIATION THERAPY SERVICES, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-07-01
Business code 621399
Sponsor’s telephone number 2567372295
Plan sponsor’s address 1811 PARKWAY CIRCLE, CULLMAN, AL, 35058

Signature of
Role Plan administrator
Date 2015-04-20
Name of individual signing VINCENT T. KAROLEWICS
CULLMAN RADIATION THERAPY SERVICES, P.C. EMPLOYEES SAVINGS TRUST 2013 631196960 2014-07-07 CULLMAN RADIATION THERAPY SERVICES, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-07-01
Business code 621399
Sponsor’s telephone number 2567372295
Plan sponsor’s address 1811 PARKWAY CIRCLE, CULLMAN, AL, 35058

Signature of
Role Plan administrator
Date 2014-07-07
Name of individual signing VINCENT T. KAROLEWICS

Agent

Name Role
KAROLEWICS, VINCENT T Agent

Incorporator

Name Role
KAROLEWICS, VINCENT T Incorporator

Related by officers

KAROLEWICS, VINCENT T

V2 Destinations, LLC Mobile RAD, L.L.C. BK Ventures, L.L.C.

Related by address

CULLMAN, AL

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1811 PARKWAY CIRCLECULLMAN, AL 35058

V2 Destinations, LLC Mobile RAD, L.L.C. BK Ventures, L.L.C.

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State

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