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Premier Cardiology Consultants, Inc.

Details

Name: Premier Cardiology Consultants, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 23 Apr 2015 (10 years ago)
Entity Number: 000-334-388
Register Number: 000334388
County: Houston
Place of Formation: Houston County
Registered Office Street Address: 1118 ROSS CLARK CIRCLE SUITE 704DOTHAN, AL 36301
Registered Office Street Address ZIP Code: 36301
Authorized Capital: 1000 @ $1.00

Activities RENDER PROFESSIONAL SERVICE IN PRACTICE OF MEDICINE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1033596515 2015-05-04 2015-05-04 1118 ROSS CLARK CIR, STE 704, DOTHAN, AL, 363013001, US 1118 ROSS CLARK CIR, STE 704, DOTHAN, AL, 363013001, US

Contacts

Phone +1 334-699-6396
Fax 3346996398

Authorized person

Name DR. NIDAL A YUNIS
Role MD / OWNER
Phone 3346996396

Taxonomy

Taxonomy Code 207RC0000X - Cardiovascular Disease Physician
License Number MD 29518
State AL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PREMIER CARDIOLOGY CONSULTANTS RETIREMENT PLAN 2023 473816586 2024-10-02 PREMIER CARDIOLOGY CONSULTANTS, INC. 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 3346996396
Plan sponsor’s address 200 GROVE PARK LANE, SUITE 670, DOTHAN, AL, 36305

Signature of

Role Plan administrator
Date 2024-10-02
Name of individual signing BENJAMIN ARMSTRONG
Valid signature Filed with authorized/valid electronic signature
PREMIER CARDIOLOGY CONSULTANTS RETIREMENT PLAN 2022 473816586 2023-09-19 PREMIER CARDIOLOGY CONSULTANTS, INC. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 3347963591
Plan sponsor’s address 1118 ROSS CLARK CIRCLE, SUITE 704, DOTHAN, AL, 36301

Signature of

Role Plan administrator
Date 2023-09-19
Name of individual signing BENJAMIN ARMSTRONG
PREMIER CARDIOLOGY CONSULTANTS RETIREMENT PLAN 2021 473816586 2022-07-20 PREMIER CARDIOLOGY CONSULTANTS, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 3347963591
Plan sponsor’s address 1118 ROSS CLARK CIRCLE, SUITE 704, DOTHAN, AL, 36301

Signature of

Role Plan administrator
Date 2022-07-20
Name of individual signing DR. NIDAL A. YUNIS
PREMIER CARDIOLOGY CONSULTANTS RETIREMENT PLAN 2020 473816586 2021-07-14 PREMIER CARDIOLOGY CONSULTANTS, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 3347963591
Plan sponsor’s address 1118 ROSS CLARK CIRCLE, SUITE 704, DOTHAN, AL, 36301
PREMIER CARDIOLOGY CONSULTANTS RETIREMENT PLAN 2019 473816586 2020-10-14 PREMIER CARDIOLOGY CONSULTANTS, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 3347963591
Plan sponsor’s address 1118 ROSS CLARK CIRCLE, SUITE 704, DOTHAN, AL, 36301
PREMIER CARDIOLOGY CONSULTANTS RETIREMENT PLAN 2018 473816586 2019-09-23 PREMIER CARDIOLOGY CONSULTANTS, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 3347963591
Plan sponsor’s address 1118 ROSS CLARK CIRCLE, SUITE 704, DOTHAN, AL, 36301

Signature of

Role Plan administrator
Date 2019-09-23
Name of individual signing NIDAL A. YUNIS
PREMIER CARDIOLOGY CONSULTANTS RETIREMENT PLAN 2017 473816586 2018-10-09 PREMIER CARDIOLOGY CONSULTANTS, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 3347963591
Plan sponsor’s address 1118 ROSS CLARK CIRCLE, SUITE 704, DOTHAN, AL, 36301
PREMIER CARDIOLOGY CONSULTANTS RETIREMENT PLAN 2016 473816586 2017-08-01 PREMIER CARDIOLOGY CONSULTANTS, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 3347963591
Plan sponsor’s address 1118 ROSS CLARK CIRCLE, SUITE 704, DOTHAN, AL, 36301
PREMIER CARDIOLOGY CONSULTANTS RETIREMENT PLAN 2015 473816586 2016-10-12 PREMIER CARDIOLOGY CONSULTANTS, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 3347963591
Plan sponsor’s address 1118 ROSS CLARK CIRCLE, SUITE 704, DOTHAN, AL, 36301

Agent

Name Role Address
YUNIS, NIDAL Agent 1891 HONEYSUCKLE ROAD STE 2DOTHAN, AL 36305

Director

Name Role Address
YUNIS, NIDAL Director 1891 HONEYSUCKLE ROAD STE 2DOTHAN, AL 36305

Incorporator

Name Role Address
ARMSTRONG, BENJAMIN S Incorporator 200 GROVE PARK LN STE 670DOTHAN, AL 36305

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State