Name: | Cullman Regional Nurse Anesthetists, LLC |
Jurisdiction: | Alabama |
Legal type: | Domestic Limited Liability Company |
Status: | Dissolved |
Date of registration: | 19 Apr 2010 (15 years ago) |
Date of dissolution: | 30 Oct 2017 |
Entity Number: | 000-446-099 |
Register Number: | 000446099 |
County: | Cullman |
Place of Formation: | Cullman County |
Principal Address: | VINEMONT, AL |
Registered Office Street Address: | 156 CO RD 1313VINEMONT, AL 35179 |
Registered Office Street Address ZIP Code: | 35179 |
Activities
COMPREHENSIVE ANESTHESIA CARE
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1215334594 | 2014-12-02 | 2015-09-29 | 7956 VAUGHN RD # 165, MONTGOMERY, AL, 361166625, US | 1912 AL HIGHWAY 157, CULLMAN, AL, 350580609, US | |||||||||||||||||||||
|
Phone | +1 888-316-7491 |
Fax | 3342397654 |
Phone | +1 256-737-2000 |
Authorized person
Name | MR. NORMAN RAY BURKETT |
Role | PRESIDENT |
Phone | 3343966930 |
Taxonomy
Taxonomy Code | 367500000X - Certified Registered Nurse Anesthetist |
License Number | 1-051912 |
State | AL |
Is Primary | Yes |
Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
CRNA, LLC 401K PLAN | 2015 | 383813077 | 2016-03-31 | CULLMAN REGIONAL NURSE ANESTHETISTS, LLC | 12 | |||||||||||||
|
Name | Role |
---|---|
BURKETT, NORMAN RAY | Agent |
Name | Role |
---|---|
BURKETT, NORMAN RAY | Member |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State