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Internal Medicine Consultants of Birmingham, P.C.

Details

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

National Provider Identifier

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

Contacts

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

form 5500

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
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 2024-05-16
Name of individual signing MARK S MALDIA
INTERNAL MEDICINE CONSULTANTS OF BIRMINGHAM 401(K) PLAN 2022 262227537 2023-10-09 INTERNAL MEDICINE CONSULTANTS OF BIRMINGHAM 5
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
INTERNAL MEDICINE CONSULTANTS OF BIRMINGHAM 401(K) PLAN 2021 262227537 2022-10-15 INTERNAL MEDICINE CONSULTANTS OF BIRMINGHAM 5
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
INTERNAL MEDICINE CONSULTANTS OF BIRMINGHAM 401(K) PLAN 2020 262227537 2021-10-10 INTERNAL MEDICINE CONSULTANTS OF BIRMINGHAM 5
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
INTERNAL MEDICINE CONSULTANTS OF BIRMINGHAM 401(K) PLAN 2019 262227537 2020-08-07 INTERNAL MEDICINE CONSULTANTS OF BIRMINGHAM 2
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

Agent

Name Role
MALDIA, MARK STEVEN Agent

Incorporator

Name Role
MALDIA, MARK STEVEN Incorporator

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State