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Smart Start Pediatrics, LLC

Details

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

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

Business Information

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

National Provider Identifier

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

Contacts

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

form 5500

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
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, 359513838
SMART START PEDIATRICS 401(K) PLAN 2022 464871435 2023-03-27 SMART START PEDIATRICS 22
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, 359513838
SMART START PEDIATRICS 401(K) PLAN 2021 464871435 2022-10-12 SMART START PEDIATRICS 22
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 2022-10-12
Name of individual signing TRACY BELL
SMART START PEDIATRICS 401(K) PLAN 2020 464871435 2021-10-05 SMART START PEDIATRICS 16
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
SMART START PEDIATRICS 401(K) PLAN 2019 464871435 2020-05-28 SMART START PEDIATRICS 16
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
SMART START PEDIATRICS 401(K) PLAN 2018 464871435 2019-06-06 SMART START PEDIATRICS 11
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

Agent

Name Role Address
STROGOV, PETER Agent 1359 OLD WATERWORKS ROAD SOUTHWESTFORT PAYNE, AL 35968

Organizer

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