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Skin Pathology Associates, Inc.

Details

Name: Skin Pathology Associates, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Dissolved
Date of registration: 04 Nov 2003 (21 years ago)
Date of dissolution: 10 Dec 2015
Entity Number: 000-231-807
Register Number: 000231807
County: Jefferson
Place of Formation: Jefferson County
Principal Address: ---BIRMINGHAM, AL
Registered Office Street Address: 3550 INDEPENDENCE DR STE 200BIRMINGHAM, AL 35209
Registered Office Street Address ZIP Code: 35209
Authorized Capital: $5,000

Activities REAL/PERSONAL PROPERTY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1376970236 2013-10-08 2013-10-08 3560 INDEPENDENCE DR, SUITE 200, BIRMINGHAM, AL, 352095703, US 3550 INDEPENDENCE DR, BIRMINGHAM, AL, 352095710, US

Contacts

Phone +1 205-949-2806
Fax 2059492810

Authorized person

Name STEPHANIE HIGGINS
Role CREDENTIALING
Phone 2059492834

Taxonomy

Taxonomy Code 207ZD0900X - Dermatopathology (Pathology) Physician
License Number L37107
State AL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SKIN PATHOLOGY ASSOCIATES, INC 401K PROFIT SHARING PLAN 2009 200358398 2010-09-14 SKIN PATHOLOGY ASSOCIATES, INC. 64
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 2059492806
Plan sponsor’s address 3550 INDEPENDENCE DRIVE, SUITE B, BIRMINGHAM, AL, 35209

Plan administrator’s name and address

Administrator’s EIN 200358398
Plan administrator’s name SKIN PATHOLOGY ASSOCIATES, INC.
Plan administrator’s address 3550 INDEPENDENCE DRIVE, SUITE B, BIRMINGHAM, AL, 35209
Administrator’s telephone number 2059492806

Signature of

Role Plan administrator
Date 2010-09-14
Name of individual signing JAMES E. ELDER

Agent

Name Role Address
ELDER, JAMES E Agent 3550 INDEPENDENCE DRIVEBIRMINGHAM, AL 35209

Incorporator

Name Role Address
ELDER, JAMES E Incorporator 3550 INDEPENDENCE DRIVEBIRMINGHAM, AL 35209

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State