| 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
| 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 | |||||||||||||||||||
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| 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 |
| 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 | |||||||||||||||||||||||||||||
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| 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 |
| Name | Role | Address |
|---|---|---|
| ELDER, JAMES E | Agent | 3550 INDEPENDENCE DRIVEBIRMINGHAM, AL 35209 |
| Name | Role | Address |
|---|---|---|
| ELDER, JAMES E | Incorporator | 3550 INDEPENDENCE DRIVEBIRMINGHAM, AL 35209 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
