| Name: | ENT Center of Northwest Alabama LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 31 Jan 2019 (6 years ago) |
| Entity Number: | 000-544-218 |
| Register Number: | 000544218 |
| County: | Lauderdale |
| Place of Formation: | Houston County |
| Registered Office Street Address: | 1949 FLORENCE BLVD.FLORENCE, AL 35630 |
| Registered Office Street Address ZIP Code: | 35630 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013577634 | 2019-06-17 | 2019-06-17 | 1949 FLORENCE BLVD, FLORENCE, AL, 356302729, US | 1949 FLORENCE BLVD, FLORENCE, AL, 356302729, US | |||||||||||||||
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| Phone | +1 417-986-6734 |
| Fax | 2567689187 |
Authorized person
| Name | DR. CALEB GERALD MASTERSON |
| Role | PRESIDENT |
| Phone | 4179866734 |
Taxonomy
| Taxonomy Code | 207Y00000X - Otolaryngology Physician |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ENT CENTER OF NORTHWEST ALABAMA, LLC 401(K) PLAN | 2023 | 833508553 | 2024-10-09 | ENT CENTER OF NORTHWEST ALABAMA, LLC | 10 | |||||||||||||||||||||
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| ENT CENTER OF NORTHWEST ALABAMA, LLC 401(K) PLAN | 2022 | 833508553 | 2023-10-11 | ENT CENTER OF NORTHWEST ALABAMA | 5 | |||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2023-10-11 |
| Name of individual signing | CALEB MASTERSON |
| Name | Role |
|---|---|
| MASTERSON, CALEB | Agent |
| Name | Role | Address |
|---|---|---|
| REGISTERED AGENTS INC | Organizer | 212 W. TROY ST. STE BDOTHAN, AL 36303 |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
