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Southern Lab Partners, LLC

Details

Name: Southern Lab Partners, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 18 Oct 2012 (12 years ago)
Entity Number: 000-268-668
Register Number: 000268668
County: Jefferson
Place of Formation: Jefferson County
Registered Office Street Address: 407 SOUTH MCDONOUGH STREETMONTGOMERY, AL 36104
Registered Office Street Address ZIP Code: 36104
Principal Mailing Address: 407 South McDonough StreetMontgomery, AL 36104
Principal Mailing Address ZIP Code: 36104
Principal Address: 2732 7th Avenue SouthBirmingham, AL 35233
Principal Address ZIP Code: 35233

Activities TO OPERATE A REFERENCE LABORATORY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1164775862 2012-10-18 2021-04-12 2732 7TH AVE S, BIRMINGHAM, AL, 352333406, US 2732 7TH AVE S, BIRMINGHAM, AL, 352333406, US

Contacts

Phone +1 205-661-0001
Fax 2056610009

Authorized person

Name ASHLEY POTTER
Role PARTNER
Phone 2056610001

Taxonomy

Taxonomy Code 291U00000X - Clinical Medical Laboratory
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SOUTHERN LAB PARTNERS, LLC 401(K) PLAN 2022 800857890 2023-10-12 SOUTHERN LAB PARTNERS, LLC 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621510
Sponsor’s telephone number 2056610001
Plan sponsor’s address 2732 7TH AVENUE, BIRMINGHAM, AL, 35233
SOUTHERN LAB PARTNERS, LLC 401(K) PLAN 2021 800857890 2022-10-16 SOUTHERN LAB PARTNERS, LLC 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621510
Sponsor’s telephone number 2056610001
Plan sponsor’s address 3528 VANN ROAD, SUITE 101, BIRMINGHAM, AL, 35235

Member

Name Role Address
Lab Four, LLC Member 407 South McDonough StreetMontgomery, AL 36104

Agent

Name Role
SCOTT T. MCARDLE Agent

Organizer

Name Role Address
Lab Four, LLC Organizer 407 South McDonough StreetMontgomery, AL 36104

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State