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Scottsboro Pediatrics, P.C.

Details

Name: Scottsboro Pediatrics, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 10 Mar 2009 (16 years ago) (Companies founded in March 2009)
Entity Number: 000-260-284
Register Number: 000260284
ZIP code: 35763 (Companies in Madison, 35763)
County: Madison
Place of Formation: Jackson County
Principal Address: HAMPTON COVE, AL
Registered Office Street Address: 3101 HADDONSTONE DRHAMPTON COVE, AL 35763
Authorized Capital: 10,000

Activities PEDIATRIC MEDICINE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1376966416 2014-01-25 2014-01-25 1508 S BROAD ST, SUITE 300, SCOTTSBORO, AL, 357682667, US 1508 S BROAD ST, SUITE 300, SCOTTSBORO, AL, 357682667, US

Contacts

Phone +1 256-259-3600

Authorized person

Name DR. MUHAMMAD AMJAD
Role OWNER/PHYSICIAN
Phone 2562593600

Taxonomy

Taxonomy Code 261QP2300X - Primary Care Clinic/Center
License Number 24797
State AL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SCOTTSBORO PEDIATRICS, P. C. 401(K) PROFIT SHARING PLAN 2023 264425082 2024-06-11 SCOTTSBORO PEDIATRICS, P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 2055993758
Plan sponsor’s address 1508 SOUTH BROAD ST.,, SUITE 300, SCOTTSBORO, AL, 35768

Signature of

Role Plan administrator
Date 2024-06-11
Name of individual signing MUHAMMAD AMJAD
Role Employer/plan sponsor
Date 2024-06-11
Name of individual signing MUHAMMAD AMJAD
SCOTTSBORO PEDIATRICS, P. C. 401(K) PROFIT SHARING 2023 264425082 2024-08-21 SCOTTSBORO PEDIATRICS, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 2055993758
Plan sponsor’s address 1508 SOUTH BROAD ST.,, SUITE 300, SCOTTSBORO, AL, 35768
SCOTTSBORO PEDIATRICS, P. C. 401(K) PROFIT SHARING PLAN 2022 264425082 2023-06-03 SCOTTSBORO PEDIATRICS, P.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 2055993758
Plan sponsor’s address 1508 SOUTH BROAD ST.,, SUITE 300, SCOTTSBORO, AL, 35768

Signature of

Role Plan administrator
Date 2023-06-03
Name of individual signing MUHAMMAD AMJAD
Role Employer/plan sponsor
Date 2023-06-03
Name of individual signing MUHAMMAD AMJAD
SCOTTSBORO PEDIATRICS, P. C. 401(K) PROFIT SHARING PLAN 2021 264425082 2022-05-10 SCOTTSBORO PEDIATRICS, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 2055993758
Plan sponsor’s address 1508 SOUTH BROAD ST.,, SUITE 300, SCOTTSBORO, AL, 35768

Signature of

Role Plan administrator
Date 2022-05-10
Name of individual signing MUHAMMAD AMJAD
Role Employer/plan sponsor
Date 2022-05-10
Name of individual signing MUHAMMAD AMJAD
SCOTTSBORO PEDIATRICS, P. C. 401(K) PROFIT SHARING PLAN 2020 264425082 2021-06-21 SCOTTSBORO PEDIATRICS, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 2055993758
Plan sponsor’s address 1508 SOUTH BROAD ST.,, SUITE 300, SCOTTSBORO, AL, 35768

Signature of

Role Plan administrator
Date 2021-06-21
Name of individual signing MUHAMMAD AMJAD
SCOTTSBORO PEDIATRICS, P. C. 401(K) PROFIT SHARING PLAN 2019 264425082 2020-07-31 SCOTTSBORO PEDIATRICS, P.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 2055993758
Plan sponsor’s address 1508 SOUTH BROAD ST.,, SUITE 300, SCOTTSBORO, AL, 35768
SCOTTSBORO PEDIATRICS, P. C. 401(K) PROFIT SHARING PLAN 2018 264425082 2019-05-08 SCOTTSBORO PEDIATRICS, P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 2055993758
Plan sponsor’s address 1508 SOUTH BROAD ST.,, SUITE 300, SCOTTSBORO, AL, 35768
SCOTTSBORO PEDIATRICS, P. C. 401(K) PROFIT SHARING PLAN 2017 264425082 2018-06-05 SCOTTSBORO PEDIATRICS, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 2055993758
Plan sponsor’s address 1508 SOUTH BROAD ST.,, SUITE 300, SCOTTSBORO, AL, 35768

Signature of

Role Plan administrator
Date 2018-06-05
Name of individual signing MUHAMMAD AMJAD
SCOTTSBORO PEDIATRICS, P. C. 401(K) PROFIT SHARING PLAN 2016 264425082 2017-07-25 SCOTTSBORO PEDIATRICS, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 2055993758
Plan sponsor’s address 1508 SOUTH BROAD ST.,, SUITE 300, SCOTTSBORO, AL, 35768

Signature of

Role Plan administrator
Date 2017-07-25
Name of individual signing MUHAMMAD AMJAD
SCOTTSBORO PEDIATRICS, P.C. 401(K) PROFIT SHARING PLAN 2015 264425082 2016-10-13 SCOTTSBORO PEDIATRICS, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 2055993758
Plan sponsor’s address 1508 SOUTH BROAD ST.,, SUITE 300, SCOTTSBORO, AL, 35768

Agent

Name Role Address
AMJAD, SHABANA Agent 1508 S BROAD STREET #300SCOTTSBORO, AL 35768

Incorporator

Name Role Address
AMJAD, MUHAMMAD Incorporator 1645 SPARKMAN DR NWHUNTSVILLE, AL 35816

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State