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Regenerative Medicine of Alabama, LLC

Details

Name: Regenerative Medicine of Alabama, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 30 Apr 2019 (6 years ago)
Entity Number: 000-573-942
Register Number: 000573942
Place of Formation: Houston County
Registered Office Street Address: 2500 FLOWERS CHAPEL ROADDOTHAN, AL 36305-8300

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1831740489 2019-09-25 2019-09-25 2500 FLOWERS CHAPEL RD, DOTHAN, AL, 363058300, US 2500 FLOWERS CHAPEL RD, DOTHAN, AL, 363058300, US

Contacts

Phone +1 334-996-4299
Fax 3347920210

Authorized person

Name KIRK ERIKSEN
Role PRESIDENT
Phone 3346994299

Taxonomy

Taxonomy Code 261QM1300X - Multi-Specialty Clinic/Center
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
REGENERATIVE MEDICINE OF ALABAMA LLC 401(K) 2023 841829195 2024-09-12 REGENERATIVE MEDICINE OF ALABAMA 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2023-01-01
Business code 621111
Sponsor’s telephone number 3347937992
Plan sponsor’s address 2500 FLOWERS CHAPEL RD, DOTHAN, AL, 36305

Signature of

Role Plan administrator
Date 2024-09-12
Name of individual signing NICK RICE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
ERIKSEN, KIRK Agent

Organizer

Name Role Address
MEYER, ALBERT Organizer 1340 PIAZZA PITTIBOYNTON BEACH, FL 33482

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State