Name: | Smart Start Pediatrics, LLC |
Jurisdiction: | Alabama |
Legal type: | Domestic Limited Liability Company |
Status: | Exists |
Date of registration: | 18 Feb 2014 (11 years ago) (Companies founded in February 2014) |
Entity Number: | 000-297-415 |
Register Number: | 000297415 |
ZIP code: | 35968 (Companies in De Kalb, 35968) |
County: | De Kalb |
Place of Formation: | DeKalb County |
Principal Address: | 460 AL HWY 75 NALBERTVILLE, AL 35951-3838 |
Registered Office Street Address: | 1906 GLENN BOULEVARD SW SUITE 100-AFORT PAYNE, AL 35968 |
Activities
PEDIATRIC CLINIC
Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
N9Y3DXX7FMH3 | 2024-04-19 | 460 AL HIGHWAY 75 N, ALBERTVILLE, AL, 35951, 3838, USA | 460 AL HIGHWAY 75 N, ALBERTVILLE, AL, 35951, 3838, USA | |||||||||||||||||||||||||||||||||||||||
|
URL | www.smartstartpediatrics.com |
Division Name | SMART START PEDIATRICS LLC |
Congressional District | 04 |
State/Country of Incorporation | AL, USA |
Activation Date | 2023-04-24 |
Initial Registration Date | 2021-07-01 |
Entity Start Date | 2014-02-18 |
Fiscal Year End Close Date | Dec 31 |
Points of Contacts
Electronic Business | |
---|---|
Title | PRIMARY POC |
Name | LASHEA DALTON |
Address | 460 AL HWY 75 N, ALBERTVILLE, AL, 35951, USA |
Government Business | |
---|---|
Title | PRIMARY POC |
Name | TRACY BELL |
Address | 460 AL HWY 75 N, ALBERTVILLE, AL, 35951, USA |
Past Performance | Information not Available |
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NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1982020756 | 2014-03-17 | 2018-01-29 | 460 AL HIGHWAY 75 N, ALBERTVILLE, AL, 359513838, US | 460 AL HIGHWAY 75 N, ALBERTVILLE, AL, 359513838, US | |||||||||||||||||||||
|
Phone | +1 256-891-0300 |
Fax | 2568917461 |
Authorized person
Name | LASHEA DALTON |
Role | CREDENTIALING CONTACT/OFFICE MANAGE |
Phone | 2568910300 |
Taxonomy
Taxonomy Code | 208000000X - Pediatrics Physician |
Is Primary | No |
Taxonomy Code | 261QR1300X - Rural Health Clinic/Center |
State | AL |
Is Primary | Yes |
Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
SMART START PEDIATRICS 401(K) PLAN | 2023 | 464871435 | 2024-03-15 | SMART START PEDIATRICS | 32 | |||||||||||||||||||||
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SMART START PEDIATRICS 401(K) PLAN | 2022 | 464871435 | 2023-03-27 | SMART START PEDIATRICS | 22 | |||||||||||||||||||||
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SMART START PEDIATRICS 401(K) PLAN | 2021 | 464871435 | 2022-10-12 | SMART START PEDIATRICS | 22 | |||||||||||||||||||||
|
Role | Plan administrator |
Date | 2022-10-12 |
Name of individual signing | TRACY BELL |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2018-01-01 |
Business code | 541990 |
Sponsor’s telephone number | 2568910300 |
Plan sponsor’s address | 460 AL HWY 75 N, ALBERTVILLE, AL, 35951 |
Signature of
Role | Plan administrator |
Date | 2021-10-05 |
Name of individual signing | TRACY BELL |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2018-01-01 |
Business code | 541990 |
Sponsor’s telephone number | 2568910300 |
Plan sponsor’s address | 460 AL HWY 75 N, ALBERTVILLE, AL, 35951 |
Signature of
Role | Plan administrator |
Date | 2020-05-28 |
Name of individual signing | TRACY BELL |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2018-01-01 |
Business code | 541990 |
Sponsor’s telephone number | 2568910300 |
Plan sponsor’s address | 460 AL HWY 75 N, ALBERTVILLE, AL, 35951 |
Signature of
Role | Plan administrator |
Date | 2019-06-06 |
Name of individual signing | TRACY BELL |
Name | Role | Address |
---|---|---|
STROGOV, PETER | Agent | 1359 OLD WATERWORKS ROAD SOUTHWESTFORT PAYNE, AL 35968 |
Name | Role | Address |
---|---|---|
STROGOV, PETER | Organizer | 1359 OLD WATERWORKS ROAD SOUTHWESTFORT PAYNE, AL 35968 |
BELL, TRACY | Organizer | 401 CHESTNUT STBIRMINGHAM, AL 35206 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State