Name: | Internal Medicine Consultants of Birmingham, P.C. |
Jurisdiction: | Alabama |
Legal type: | Domestic Professional Corporation |
Status: | Exists |
Date of registration: | 18 Mar 2008 (17 years ago) |
Entity Number: | 000-256-653 |
Register Number: | 000256653 |
County: | Jefferson |
Place of Formation: | Jefferson County |
Principal Address: | BIRMNGHAM, AL |
Registered Office Street Address: | 3616 OLD LEEDS RDBIRMINGHAM, AL 35213 |
Registered Office Street Address ZIP Code: | 35213 |
Authorized Capital: | $5,000 |
Activities
MEDICAL PRACTICE
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1154593523 | 2008-03-26 | 2013-10-17 | 1500 URBAN CENTER DR, STE. 325, VESTAVIA, AL, 352422564, US | 805 SAINT VINCENTS DR, STE 500, BIRMINGHAM, AL, 352051636, US | |||||||||||||||||||
|
Phone | +1 205-970-8800 |
Phone | +1 205-323-3300 |
Authorized person
Name | MARK STEVEN MALDIA |
Role | OWNER |
Phone | 2059708808 |
Taxonomy
Taxonomy Code | 207R00000X - Internal Medicine Physician |
License Number | 20167 |
State | AL |
Is Primary | Yes |
Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
INTERNAL MEDICINE CONSULTANTS OF BIRMINGHAM 401(K) PLAN | 2023 | 262227537 | 2024-05-16 | INTERNAL MEDICINE CONSULTANTS OF BIRMINGHAM | 5 | |||||||||||||||||||||
|
Role | Plan administrator |
Date | 2024-05-16 |
Name of individual signing | MARK S MALDIA |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2019-01-01 |
Business code | 621111 |
Sponsor’s telephone number | 2059028467 |
Plan sponsor’s address | 217 COUNTRY CLUB PARK - PMB111, BIRMINGHAM, AL, 35213 |
Signature of
Role | Plan administrator |
Date | 2023-10-09 |
Name of individual signing | MARK S MALDIA |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2019-01-01 |
Business code | 621111 |
Sponsor’s telephone number | 2059028467 |
Plan sponsor’s address | 3300 CAHABA ROAD, SUITE 202, BIRMINGHAM, AL, 35223 |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2019-01-01 |
Business code | 621111 |
Sponsor’s telephone number | 2059028467 |
Plan sponsor’s address | 3300 CAHABA ROAD, SUITE 202, BIRMINGHAM, AL, 35223 |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2019-01-01 |
Business code | 621111 |
Sponsor’s telephone number | 2059028467 |
Plan sponsor’s address | 3300 CAHABA ROAD, SUITE 202, BIRMINGHAM, AL, 35223 |
Name | Role |
---|---|
MALDIA, MARK STEVEN | Agent |
Name | Role |
---|---|
MALDIA, MARK STEVEN | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State