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Alabama Spine and Pain LLC

Details

Name: Alabama Spine and Pain LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 26 Apr 2013 (12 years ago)
Entity Number: 000-268-159
Register Number: 000268159
County: Lauderdale
Place of Formation: Lauderdale County
Principal Address: 713 GRESHAM ROADFLORENCE, AL 35630
Principal Address ZIP Code: 35630
Registered Office Street Address: 3907 PEACH STREETFLORENCE, AL 35630

Activities PROFESSIONAL MEDICAL/ANESTHESIA/PAIN MANAGEMENT SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1255778577 2013-05-28 2023-12-29 PO BOX 998, KILLEN, AL, 356450998, US 3907 PEACH ST, FLORENCE, AL, 356302803, US

Contacts
Phone +1 256-712-2422

Authorized person
Name PAVAN TELANG
Role OWNER / PHYSICIAN
Phone 2567122422

Taxonomy
Taxonomy Code 207LP2900X - Pain Medicine (Anesthesiology) Physician
License Number MD.32531
State AL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ALABAMA SPINE AND PAIN CASH BALANCE PLAN 2023 462658502 2024-10-09 ALABAMA SPINE AND PAIN, LLC 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 7652388779
Plan sponsor’s address P.O. BOX 998, KILLEN, AL, 35645
ALABAMA SPINE AND PAIN 401(K) PROFIT SHARING PLAN 2023 462658502 2024-10-09 ALABAMA SPINE AND PAIN, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 7652388779
Plan sponsor’s address P.O. BOX 998, KILLEN, AL, 35645
ALABAMA SPINE AND PAIN 401(K) PROFIT SHARING PLAN 2022 462658502 2023-10-03 ALABAMA SPINE AND PAIN, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 7652388779
Plan sponsor’s address P.O. BOX 998, KILLEN, AL, 35645
ALABAMA SPINE AND PAIN CASH BALANCE PLAN 2022 462658502 2023-10-03 ALABAMA SPINE AND PAIN, LLC 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 7652388779
Plan sponsor’s address P.O. BOX 998, KILLEN, AL, 35645
ALABAMA SPINE AND PAIN CASH BALANCE PLAN 2021 462658502 2022-10-04 ALABAMA SPINE AND PAIN, LLC 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 7652388779
Plan sponsor’s address 541 WEST COLLEGE STREET, SUITE 3200, FLORENCE, AL, 35630
ALABAMA SPINE AND PAIN 401(K) PROFIT SHARING PLAN 2021 462658502 2022-10-04 ALABAMA SPINE AND PAIN, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 7652388779
Plan sponsor’s address PO BOX 998, KILLEN, AL, 35645
ALABAMA SPINE AND PAIN 401(K) PROFIT SHARING PLAN 2020 462658502 2021-10-14 ALABAMA SPINE AND PAIN, LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 7652388779
Plan sponsor’s address PO BOX 998, KILLEN, AL, 35645

Signature of
Role Plan administrator
Date 2021-10-14
Name of individual signing PAVAN TELANG
Role Employer/plan sponsor
Date 2021-10-14
Name of individual signing PAVAN TELANG
ALABAMA SPINE AND PAIN 401(K) PROFIT SHARING PLAN 2019 462658502 2020-10-08 ALABAMA SPINE AND PAIN, LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 2567212422
Plan sponsor’s address PO BOX 998, KILLEN, AL, 35645

Signature of
Role Plan administrator
Date 2020-10-08
Name of individual signing PREETI TELANG
Role Employer/plan sponsor
Date 2020-10-08
Name of individual signing PAVAN TELANG
ALABAMA SPINE AND PAIN 401(K) PROFIT SHARING PLAN 2018 462658502 2019-10-10 ALABAMA SPINE AND PAIN, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 2567212422
Plan sponsor’s address PO BOX 998, KILLEN, AL, 35645

Signature of
Role Plan administrator
Date 2019-10-10
Name of individual signing PREETI TELANG
Role Employer/plan sponsor
Date 2019-10-10
Name of individual signing PAVAN TELANG
ALABAMA SPINE AND PAIN 401(K) PROFIT SHARING PLAN 2017 462658502 2018-10-04 ALABAMA SPINE AND PAIN, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 2567212422
Plan sponsor’s address 541 WEST COLLEGE STREET, SUITE 2000, FLORENCE, AL, 35630

Signature of
Role Plan administrator
Date 2018-10-04
Name of individual signing PREETI TELANG

Organizer

Name Role Address
TELANG, PAVAN Organizer 713 GRESHAM ROADFLORENCE, AL 35630

Agent

Name Role Address
TELANG, PAVAN Agent 713 GRESHAM ROADFLORENCE, AL 35630

Related by officers

No related officers

Related by address

713 GRESHAM ROADFLORENCE, AL 35630

CGoodson Properties LLC

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State

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