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Cardiovascular Consultants of Alabama, P.C.

Details

Name: Cardiovascular Consultants of Alabama, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Dissolved
Date of registration: 12 Apr 2006 (19 years ago) (Companies founded in April 2006)
Date of dissolution: 31 Dec 2015
Entity Number: 000-246-790
Register Number: 000246790
ZIP code: 35209 (Companies in Jefferson, 35209)
County: Jefferson
Place of Formation: Jefferson County
Registered Office Street Address: 2022 BROOKWOOD CTR DR STE 415BIRMINGHAM, AL 35209
Authorized Capital: $1,000

Activities CARDIOLOGY MEDICAL PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1285676619 2006-06-11 2013-09-20 2022 BROOKWOOD MED CTR DR, ACC SUITE 415, BIRMINGHAM, AL, 352096808, US 2022 BROOKWOOD MED CTR DR, ACC SUITE 415, BIRMINGHAM, AL, 352096808, US

Contacts

Phone +1 205-250-6964
Fax 2052508916

Authorized person

Name ALFRED W.H. STANLEY JR.
Role MANAGING MEMBER
Phone 2052506964

Taxonomy

Taxonomy Code 207RC0000X - Cardiovascular Disease Physician
Is Primary Yes

Other Provider Identifiers

Issuer ALFRED STANELY, MD -NPI #
Number 1821093790
State AL
Issuer JEFFREY HERALD, CRNP/NPI#
Number 1932108826
State AL
Issuer NPI # SAJI JACOB, MD
Number 1275537169
State AL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CARDIOVASCULAR CONSULTANTS OF ALABAMA, P.C. 401(K) PROFIT SHARING PLAN 2015 204679785 2016-05-25 CARDIOVASCULAR CONSULTANTS OF ALABAMA, P.C. 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-07-01
Business code 621111
Sponsor’s telephone number 2052506964
Plan sponsor’s address 2022 BROOKWOOD MEDICAL CENTER, AMBULATORY CARE CTR STE 415, BIRMINGHAM, AL, 35209
CARDIOVASCULAR CONSULTANTS OF ALABAMA, P.C. 401(K) PROFIT SHARING PLAN 2015 204679785 2016-05-19 CARDIOVASCULAR CONSULTANTS OF ALABAMA, P.C. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-07-01
Business code 621111
Sponsor’s telephone number 2052506964
Plan sponsor’s address 2022 BROOKWOOD MEDICAL CENTER, AMBULATORY CARE CTR STE 415, BIRMINGHAM, AL, 35209

Signature of

Role Plan administrator
Date 2016-05-19
Name of individual signing ALFRED STANLEY
CARDIOVASCULAR CONSULTANTS OF ALABAMA, P.C. 401(K) PROFIT SHARING PLAN 2014 204679785 2015-10-14 CARDIOVASCULAR CONSULTANTS OF ALABAMA, P.C. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-07-01
Business code 621111
Sponsor’s telephone number 2052506964
Plan sponsor’s address 2022 BROOKWOOD MEDICAL CENTER, AMBULATORY CARE CTR STE 415, BIRMINGHAM, AL, 35209

Signature of

Role Plan administrator
Date 2015-10-14
Name of individual signing ALFRED STANLEY
CARDIOVASCULAR CONSULTANTS OF ALABAMA, P.C. 401(K) PROFIT SHARING PLAN 2013 204679785 2014-10-14 CARDIOVASCULAR CONSULTANTS OF ALABAMA, P.C. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-07-01
Business code 621111
Sponsor’s telephone number 2052506964
Plan sponsor’s address 2022 BROOKWOOD MEDICAL CENTER, AMBULATORY CARE CTR STE 415, BIRMINGHAM, AL, 35209

Signature of

Role Plan administrator
Date 2014-10-14
Name of individual signing ALFRED STANLEY
CARDIOVASCULAR CONSULTANTS OF ALABAMA, P.C. 401(K) PROFIT SHARING PLAN 2012 204679785 2013-10-15 CARDIOVASCULAR CONSULTANTS OF ALABAMA, P.C. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-07-01
Business code 621111
Sponsor’s telephone number 2052506964
Plan sponsor’s address 2022 BROOKWOOD MEDICAL CENTER, AMBULATORY CARE CTR STE 415, BIRMINGHAM, AL, 35209

Signature of

Role Plan administrator
Date 2013-10-15
Name of individual signing ALFRED STANLEY

Agent

Name Role
STANLEY, ALFRED W H JR Agent

Incorporator

Name Role Address
DOUGHTON, SUSAN D Incorporator 1130 22ND ST S, RIDGE PARK STE 4000BIRMINGHAM, AL 35205

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State