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Andrews Sports Medicine and Orthopaedic Center, LLC

Details

Name: Andrews Sports Medicine and Orthopaedic Center, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 17 Jan 2007 (18 years ago) (Companies founded in January 2007)
Entity Number: 000-489-148
Register Number: 000489148
ZIP code: 35205 (Companies in Jefferson, 35205)
County: Jefferson
Place of Formation: Jefferson County
Principal Address: BIRMINGHAM, AL
Registered Office Street Address: 806 ST VINCENT'S DRBIRMINGHAM, AL 35205

Activities MEDICAL PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1679617526 2007-02-16 2010-07-22 805 SAINT VINCENTS DR, SUITE 100, BIRMINGHAM, AL, 352051636, US 805 SAINT VINCENTS DR, SUITE 100, BIRMINGHAM, AL, 352051636, US

Contacts
Phone +1 205-939-3699
Fax 2059390989

Authorized person
Name MRS. CINDY COX
Role ADMINISTRATIVE ASSISTANT
Phone 2059393699

Taxonomy
Taxonomy Code 204C00000X - Sports Medicine (Neuromusculoskeletal Medicine) Physician
State AL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ANDREWS SPORTS MEDICINE AND ORTHOPAEDIC CENTER, LLC CBPP 2018 208266246 2019-08-20 ANDREWS SPORTS MEDICINE AND ORTHOPAEDIC CENTER, LLC 115
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621399
Sponsor’s telephone number 2053993699
Plan sponsor’s address 805 ST. VINCENTS DRIVE SUITE 100, BIRMINGHAM, AL, 35205

Signature of
Role Plan administrator
Date 2019-08-20
Name of individual signing MATTHEW MCGLYNN
ANDREWS SPORTS MEDICINE AND ORTHOPAEDIC CENTER, LLC CBPP 2018 208266246 2019-08-20 ANDREWS SPORTS MEDICINE AND ORTHOPAEDIC CENTER, LLC 114
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621399
Sponsor’s telephone number 2059393699
Plan sponsor’s address 805 ST. VINCENTS DRIVE SUITE 100, BIRMINGHAM, AL, 35205

Signature of
Role Plan administrator
Date 2019-08-20
Name of individual signing MATTHEW MCGLYNN
ANDREWS SPORTS MEDICINE AND ORTHOPAEDIC CENTER, LLC ANDREWS SPORTS MEDICINE AND ORTHO CBPP 2017 208266246 2018-10-04 ANDREWS SPORTS MEDICINE AND ORTHOPAEDIC CENTER, LLC 105
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621399
Sponsor’s telephone number 2059393699
Plan sponsor’s address 805 ST. VINCENTS DRIVE SUITE 100, BIRMINGHAM, AL, 35205

Signature of
Role Plan administrator
Date 2018-10-04
Name of individual signing MATTHEW MCGLYNN
ANDREWS SPORTS MEDICINE AND ORTHOPAEDIC CENTER, LLC ANDREWS SPORTS MEDICINE AND ORTHO CBPP 2016 208266246 2017-10-13 ANDREWS SPORTS MEDICINE AND ORTHOPAEDIC CENTER, LLC 109
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621399
Sponsor’s telephone number 2059393699
Plan sponsor’s address 805 ST. VINCENTS DRIVE SUITE 100, BIRMINGHAM, AL, 35205

Signature of
Role Plan administrator
Date 2017-10-13
Name of individual signing MATTHEW MCGLYNN
ANDREWS SPORTS MEDICINE AND ORTHOPAEDIC CENTER, LLC 401(K) PROFIT SHARING PLAN 2015 208266246 2016-07-21 ANDREWS SPORTS MEDICINE AND ORTHOPAEDIC CENTER, LLC 112
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621399
Sponsor’s telephone number 2059393699
Plan sponsor’s address 805 ST VINCENTS DRIVE SUITE 100, BIRMINGHAM, AL, 35205

Signature of
Role Plan administrator
Date 2016-07-21
Name of individual signing MATTHEW MCGLYNN
ANDREWS SPORTS MEDICINE AND ORTHOPAEDIC CENTER, LLC ANDREWS SPORTS MEDICINE AND ORTHO CBPP 2015 208266246 2016-07-21 ANDREWS SPORTS MEDICINE AND ORTHOPAEDIC CENTER, LLC 96
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621399
Sponsor’s telephone number 2059393699
Plan sponsor’s address 805 ST. VINCENTS DRIVE SUITE 100, BIRMINGHAM, AL, 35205

Signature of
Role Plan administrator
Date 2016-07-21
Name of individual signing MATTHEW MCGLYNN
ANDREWS SPORTS MEDICINE AND ORTHOPAEDIC CENTER, LLC ANDREWS SPORTS MEDICINE AND ORTHO CBPP 2014 208266246 2015-10-15 ANDREWS SPORTS MEDICINE AND ORTHOPAEDIC CENTER, LLC 88
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621399
Sponsor’s telephone number 2059393699
Plan sponsor’s address 805 ST. VINCENTS DRIVE SUITE 100, BIRMINGHAM, AL, 35205

Signature of
Role Plan administrator
Date 2015-10-15
Name of individual signing MATTHEW MCGLYNN
ANDREWS SPORTS MEDICINE AND ORTHOPAEDIC CENTER, LLC 401(K) PROFIT SHARING PLAN 2014 208266246 2015-10-15 ANDREWS SPORTS MEDICINE AND ORTHOPAEDIC CENTER, LLC 97
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621399
Sponsor’s telephone number 2059393699
Plan sponsor’s address 805 ST VINCENTS DRIVE SUITE 100, BIRMINGHAM, AL, 35205

Signature of
Role Plan administrator
Date 2015-10-15
Name of individual signing MATTHEW MCGLYNN
ANDREWS SPORTS MEDICINE AND ORTHOPAEDIC CENTER, LLC CASH BALANCE PLAN 2013 208266246 2014-10-14 ANDREWS SPORTS MEDICINE AND ORTHOPAEDIC CENTER, LLC 82
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621399
Sponsor’s telephone number 2059393699
Plan sponsor’s address 805 ST. VINCENTS DRIVE, SUITE 100, BIRMINGHAM, AL, 35205

Signature of
Role Plan administrator
Date 2014-10-14
Name of individual signing MATTHEW MCGLYNN
Role Employer/plan sponsor
Date 2014-10-14
Name of individual signing MATTHEW MCGLYNN
ANDREWS SPORTS MEDICINE AND ORTHOPAEDIC CENTER, LLC 401(K) PROFIT SHARING PLAN 2013 208266246 2014-07-25 ANDREWS SPORTS MEDICINE AND ORTHOPAEDIC CENTER, LLC 97
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621399
Sponsor’s telephone number 2059393699
Plan sponsor’s address 805 ST. VINCENTS DRIVE, SUITE 100, BIRMINGHAM, AL, 35205

Signature of
Role Plan administrator
Date 2014-07-25
Name of individual signing MATTHEW MCGLYNN

Agent

Name Role
DUGAS, JEFFREY R Agent

Member

Name Role
E LYLE CAIN JR MD PC Member
JEFFREY R DUGAS MD PC Member

Related by officers

DUGAS, JEFFREY R

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JEFFREY R DUGAS MD PC

Conquest Sky, LLC

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Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State

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