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Naaman Clinic LLC

Details

Name: Naaman Clinic LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 10 Sep 2015 (9 years ago)
Entity Number: 000-344-667
Register Number: 000344667
Historical Names: Lumend Surgical Dermatology, LLC
County: Shelby
Place of Formation: Shelby County
Registered Office Street Address: 5221 CAHABA VALLEY COVEBIRMINGHAM, AL 35242
Registered Office Street Address ZIP Code: 35242

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1194183749 2016-02-10 2019-11-25 100 CONCOURSE PKWY, STE 265, HOOVER, AL, 352441881, US 100 CONCOURSE PKWY, STE 265, HOOVER, AL, 352441881, US

Contacts
Phone +1 205-453-4196
Fax 2055337385

Authorized person
Name EVANS C BAILEY
Role MEDICAL DOCTOR
Phone 2054534195

Taxonomy
Taxonomy Code 207N00000X - Dermatology Physician
License Number 26882
State AL
Is Primary Yes

Other Provider Identifiers
Issuer GROUP NPI
Number 1194183749
State AL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NAAMAN CLINIC, LLC 401(K) PLAN 2023 811175124 2024-07-17 NAAMAN CLINIC, LLC 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 2057219958
Plan sponsor’s address 6234 TATTERSALL BLVD, BIRMINGHAM, AL, 35242

Signature of
Role Plan administrator
Date 2024-07-17
Name of individual signing EVANS BAILEY
NAAMAN CLINIC, LLC CASH BALANCE PENSION PLAN 2023 811175124 2024-07-26 NAAMAN CLINIC, LLC 30
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 2054534195
Plan sponsor’s address 6234 TATTERSALL BLVD, BIRMINGHAM, AL, 35242
NAAMAN CLINIC, LLC CASH BALANCE PENSION PLAN 2022 811175124 2023-10-03 NAAMAN CLINIC, LLC 26
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 2054534195
Plan sponsor’s address 100 CONCOURSE PARKWAY, SUITE 240, BIRMINGHAM, AL, 352441857
NAAMAN CLINIC, LLC 401(K) PLAN 2022 811175124 2023-09-29 NAAMAN CLINIC, LLC 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 2054534195
Plan sponsor’s address 100 CONCOURSE PARKWAY, SUITE 240, BIRMINGHAM, AL, 352441857

Signature of
Role Plan administrator
Date 2023-09-29
Name of individual signing EVANS BAILEY
NAAMAN CLINIC, LLC 401(K) PLAN 2021 811175124 2022-09-23 NAAMAN CLINIC, LLC 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 2054534195
Plan sponsor’s address 100 CONCOURSE PARKWAY, SUITE 240, BIRMINGHAM, AL, 352441857

Signature of
Role Plan administrator
Date 2022-09-23
Name of individual signing EVANS BAILEY
NAAMAN CLINIC, LLC CASH BALANCE PENSION PLAN 2021 811175124 2022-08-30 NAAMAN CLINIC, LLC 19
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 2054534195
Plan sponsor’s address 100 CONCOURSE PARKWAY, SUITE 240, BIRMINGHAM, AL, 352441857
NAAMAN CLINIC, LLC 401(K) PLAN 2020 811175124 2021-06-04 NAAMAN CLINIC, LLC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 2054534195
Plan sponsor’s address 100 CONCOURSE PARKWAY, SUITE 240, BIRMINGHAM, AL, 352441857

Signature of
Role Plan administrator
Date 2021-06-04
Name of individual signing EVANS BAILEY
NAAMAN CLINIC, LLC CASH BALANCE PENSION PLAN 2020 811175124 2021-06-09 NAAMAN CLINIC, LLC 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 2054534195
Plan sponsor’s address 100 CONCOURSE PARKWAY, SUITE 240, BIRMINGHAM, AL, 352441857
NAAMAN CLINIC, LLC CASH BALANCE PENSION PLAN 2019 811175124 2020-07-15 NAAMAN CLINIC, LLC 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 2054534195
Plan sponsor’s address 100 CONCOURSE PARKWAY, SUITE 240, HOOVER, AL, 352441857
NAAMAN CLINIC, LLC 401(K) PLAN 2019 811175124 2020-09-21 NAAMAN CLINIC, LLC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 2054534195
Plan sponsor’s address 100 CONCOURSE PARKWAY, SUITE 240, HOOVER, AL, 352441857

Signature of
Role Plan administrator
Date 2020-09-21
Name of individual signing EVANS BAILEY

Agent

Name Role Address
BAILEY, EVANS C Agent 5221 CAHABA VALLEY COVEBIRMINGHAM, AL 35242

Events

Event Date Event Type Old Value New Value
2016-01-19 Name Change Lumend Surgical Dermatology, LLC Naaman Clinic LLC

Related by officers

BAILEY, EVANS C

The Lumend Building, LLC Naaman Holdings, LLC

Related by address

5221 CAHABA VALLEY COVEBIRMINGHAM, AL 35242

The Lumend Building, LLC Frech, LLC

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State

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