| Name: | Pelham Internal Medicine LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 05 Mar 2020 (5 years ago) |
| Entity Number: | 000-625-263 |
| Register Number: | 000625263 |
| County: | Shelby |
| Place of Formation: | Shelby County |
| Registered Office Street Address: | 2156 HIGHWAY 52 EPELHAM, AL 35124 |
| Registered Office Street Address ZIP Code: | 35124 |
| Registered Office Mailing Address: | PO BOX 660634VESTAVIA, AL 35266 |
| Registered Office Mailing Address ZIP Code: | 35266 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1881223162 | 2020-04-07 | 2020-04-10 | PO BOX 660364, VESTAVIA, AL, 352660364, US | 2156 HIGHWAY 52 EAST, SUITE 100, PELHAM, AL, 35124, US | |||||||||||||
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| Phone | +1 205-747-2273 |
Authorized person
| Name | BELA PATEL |
| Role | PHYSICIAN OWNER |
| Phone | 2053298590 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PELHAM INTERNAL MEDICINE, LLC 401(K) PLAN | 2023 | 844996056 | 2024-09-18 | PELHAM INTERNAL MEDICINE, LLC | 6 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-09-18 |
| Name of individual signing | ALPESH PATEL |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| PATEL, ALPESH M | Organizer | 2156 HIGHWAY 52 EASTPELHAM, AL 35124 |
| Name | Role | Address |
|---|---|---|
| PATEL, ALPESH M | Agent | 2156 HIGHWAY 52 EASTPELHAM, AL 35124 |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
