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IM Clinic LLC

Details

Name: IM Clinic LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 23 Jan 2018 (7 years ago)
Entity Number: 000-507-817
Register Number: 000507817
County: Madison
Place of Formation: Madison County
Registered Office Street Address: 2227 DRAKE AVE SW # 7AHUNTSVILLE, AL 35805
Registered Office Street Address ZIP Code: 35805
Registered Office Mailing Address: PO BOX 527HUNTSVILLE, AL 35804
Registered Office Mailing Address ZIP Code: 35804

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1609378520 2018-03-07 2023-01-02 PO BOX 527, HUNTSVILLE, AL, 358040527, US 420 LOWELL DR SE STE 102, HUNTSVILLE, AL, 358013755, US

Contacts

Phone +1 256-258-9278

Authorized person

Name OMER IQBAL
Role OWNER
Phone 2562589278

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes
Taxonomy Code 390200000X - Student in an Organized Health Care Education/Training Program
License Number DO.1670
State AL
Is Primary No

Other Provider Identifiers

Issuer PENDING
Number PENDING

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
IM CLINIC 401(K) PLAN 2023 824113510 2024-08-12 IM CLINIC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 2567159598
Plan sponsor’s address 420 LOWELL DRIVE SE, SUITE 105, HUNTSVILLE, AL, 35801
IM CLINIC 401(K) PLAN 2022 824113510 2023-07-28 IM CLINIC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 2567159598
Plan sponsor’s address 420 LOWELL DRIVE SE, SUITE 105, HUNTSVILLE, AL, 35801
IM CLINIC 401(K) PLAN 2021 824113510 2022-08-04 IM CLINIC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 2567159598
Plan sponsor’s address 420 LOWELL DRIVE SE, SUITE 105, HUNTSVILLE, AL, 35801
IM CLINIC 401(K) PLAN 2020 824113510 2021-07-23 IM CLINIC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 2567159598
Plan sponsor’s address 420 LOWELL DRIVE SE, SUITE 105, HUNTSVILLE, AL, 35801

Signature of

Role Plan administrator
Date 2021-07-23
Name of individual signing OMER IQBAL
IM CLINIC 401(K) PLAN 2019 824113510 2020-06-10 IM CLINIC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 2567159598
Plan sponsor’s address 420 LOWELL DRIVE SE, SUITE 105, HUNTSVILLE, AL, 35801

Signature of

Role Plan administrator
Date 2020-06-10
Name of individual signing OMER IQBAL

Agent

Name Role Address
SAEED, IQBAL Agent 2227 DRAKE AVENUE SWHUNTSVILLE, AL 35805

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State