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Huntsville LASER Center, LLC

Details

Name: Huntsville LASER Center, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 08 Jul 1999 (25 years ago)
Date of dissolution: 10 Jan 2017
Entity Number: 000-665-229
Register Number: 000665229
County: Madison
Place of Formation: Madison County
Principal Address: HUNTSVILLE, AL
Registered Office Street Address: 120 GOVERNORS DRHUNTSVILLE, AL 35801
Registered Office Street Address ZIP Code: 35801

Activities EYE SURGERY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1043424203 2007-05-09 2020-08-22 120 GOVERNORS DRIVE SE, SUITE 101, HUNTSVILLE, AL, 35801, US 120 GOVERNORS DR SE, SUITE 101, HUNTSVILLE, AL, 358014320, US

Contacts
Phone +1 256-704-3937

Authorized person
Name DR. WILLIAM N MITCHELL
Role OWNER
Phone 2567043937

Taxonomy
Taxonomy Code 207W00000X - Ophthalmology Physician
License Number 21789
State AL
Is Primary Yes

Other Provider Identifiers
Issuer BCBS
Number 51008937
State AL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HUNTSVILLE LASER CENTER, LLC CASH BALANCE PLAN 2016 631229309 2017-03-30 HUNTSVILLE LASER CENTER, LLC 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621399
Sponsor’s telephone number 2567043937
Plan sponsor’s address 3501 MEMORIAL HIGHWAY, SW, STE 200, HUNTSVILLE, AL, 35801

Signature of
Role Plan administrator
Date 2017-03-30
Name of individual signing WILLIAM MITCHELL
Role Employer/plan sponsor
Date 2017-03-30
Name of individual signing WILLIAM MITCHELL
HUNTSVILLE LASER CENTER, LLC CASH BALANCE PLAN 2015 631229309 2016-03-14 HUNTSVILLE LASER CENTER, LLC 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621399
Sponsor’s telephone number 2567043937
Plan sponsor’s address 3501 MEMORIAL HIGHWAY, SW, STE 200, HUNTSVILLE, AL, 35801

Signature of
Role Plan administrator
Date 2016-03-14
Name of individual signing WILLIAM MITCHELL
Role Employer/plan sponsor
Date 2016-03-14
Name of individual signing WILLIAM MITCHELL
HUNTSVILLE LASER CENTER, LLC CASH BALANCE PLAN 2014 631229309 2015-06-30 HUNTSVILLE LASER CENTER, LLC 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621399
Sponsor’s telephone number 2567043937
Plan sponsor’s address 3501 MEMORIAL HIGHWAY, SW, STE 200, HUNTSVILLE, AL, 35801

Signature of
Role Plan administrator
Date 2015-06-29
Name of individual signing WILLIAM MITCHELL
Role Employer/plan sponsor
Date 2015-06-29
Name of individual signing WILLIAM MITCHELL
HUNTSVILLE LASER CENTER, LLC CASH BALANCE PLAN 2013 631229309 2014-04-21 HUNTSVILLE LASER CENTER, LLC 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621399
Sponsor’s telephone number 2567043937
Plan sponsor’s address 3501 MEMORIAL HIGHWAY, SW, STE 200, HUNTSVILLE, AL, 35801

Signature of
Role Plan administrator
Date 2014-04-21
Name of individual signing WILLIAM MITCHELL
HUNTSVILLE LASER CENTER, LLC CASH BALANCE PLAN 2012 631229309 2013-07-22 HUNTSVILLE LASER CENTER, LLC 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621399
Sponsor’s telephone number 2567043937
Plan sponsor’s address 3501 MEMORIAL HIGHWAY, SW, STE 200, HUNTSVILLE, AL, 35801

Signature of
Role Plan administrator
Date 2013-07-22
Name of individual signing WILLIAM MITCHELL
Role Employer/plan sponsor
Date 2013-07-22
Name of individual signing WILLIAM MITCHELL
HUNTSVILLE LASER CENTER, LLC CASH BALANCE PLAN 2011 631229309 2012-07-18 HUNTSVILLE LASER CENTER, LLC 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621399
Sponsor’s telephone number 2567043937
Plan sponsor’s address 3501 MEMORIAL HIGHWAY, SW, STE 200, HUNTSVILLE, AL, 35801

Plan administrator’s name and address
Administrator’s EIN 631229309
Plan administrator’s name HUNTSVILLE LASER CENTER, LLC
Plan administrator’s address 3501 MEMORIAL HIGHWAY, SW, STE 200, HUNTSVILLE, AL, 35801
Administrator’s telephone number 2567043937

Signature of
Role Plan administrator
Date 2012-07-18
Name of individual signing WILLIAM MITCHELL
HUNTSVILLE LASER CENTER, LLC CASH BALANCE PLAN 2010 631229309 2011-11-17 HUNTSVILLE LASER CENTER, LLC 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621399
Sponsor’s telephone number 2567043937
Plan sponsor’s address 3501 MEMORIAL PARKWAY SW, SUITE 200, HUNTSVILLE, AL, 35801

Plan administrator’s name and address
Administrator’s EIN 631229309
Plan administrator’s name HUNTSVILLE LASER CENTER, LLC
Plan administrator’s address 3501 MEMORIAL PARKWAY SW, SUITE 200, HUNTSVILLE, AL, 35801
Administrator’s telephone number 2567043937

Signature of
Role Plan administrator
Date 2011-11-17
Name of individual signing WILLIAM MITCHELL
HUNTSVILLE LASER CENTER, LLC CASH BALANCE PLAN 2010 631229309 2011-10-14 HUNTSVILLE LASER CENTER, LLC 6
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621399
Sponsor’s telephone number 2567043937
Plan sponsor’s address 3501 MEMORIAL PARKWAY SW, SUITE 200, HUNTSVILLE, AL, 35801

Plan administrator’s name and address
Administrator’s EIN 631229309
Plan administrator’s name HUNTSVILLE LASER CENTER, LLC
Plan administrator’s address 3501 MEMORIAL PARKWAY SW, SUITE 200, HUNTSVILLE, AL, 35801
Administrator’s telephone number 2567043937

Signature of
Role Plan administrator
Date 2011-10-14
Name of individual signing WILLIAM MITCHELL
HUNTSVILLE LASER CENTER, LLC CASH BALANCE PLAN 2010 631229309 2011-09-15 HUNTSVILLE LASER CENTER, LLC 6
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621399
Sponsor’s telephone number 2567043937
Plan sponsor’s address 3501 MEMORIAL PARKWAY SW, SUITE 200, HUNTSVILLE, AL, 35801

Plan administrator’s name and address
Administrator’s EIN 631229309
Plan administrator’s name HUNTSVILLE LASER CENTER, LLC
Plan administrator’s address 3501 MEMORIAL PARKWAY SW, SUITE 200, HUNTSVILLE, AL, 35801
Administrator’s telephone number 2567043937

Member

Name Role
MITCHELL, WILLIAM N Member

Agent

Name Role
MITCHELL, WILLIAM N Agent

Related by officers

MITCHELL, WILLIAM N

Maynor & Mitchell Eye Center, P.C. Eye Surgery Center of North Alabama, Inc. ESC Leasing, L.L.C. ESF Properties LLC Maynor & Mitchell Optical Shop, LLC ESC Properties, LLC

Related by address

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120 GOVERNORS DRHUNTSVILLE, AL 35801

ESC Properties, LLC

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State

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