Varicosity, LLC

Details

Name:	Varicosity, LLC
Jurisdiction:	Alabama
Legal type:	Domestic Limited Liability Company
Status:	Exists
Date of registration:	16 May 2002 (23 years ago)
Entity Number:	000-682-379
Register Number:	000682379
County:	Jefferson
Place of Formation:	Jefferson County
Registered Office Street Address:	880 MONTCLAIR RD STE 270BIRMINGHAM, AL 35213
Registered Office Street Address ZIP Code:	35213

Activities ANY LAWFUL BUSINESS ACT FOR WHICH A LIMITED LIABILITY COMPANY MA

National Provider Identifier

NPI

Enumeration Date

Last Update Date

Mailing Address

Practice Location Address

1114968575

2006-06-09

2015-07-29

2704 20TH ST S, SUITE 410, BIRMINGHAM, AL, 352091924, US

Contacts

Phone	+1 205-592-1800
Fax	2055921752

Authorized person

Name	DR. CARLTON DUANE RANDLEMAN JR.
Role	PRESIDENT
Phone	2055921800

Taxonomy

Taxonomy Code	2086S0129X - Vascular Surgery Physician
Is Primary	Yes

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

VARICOSITY, LLC 401K PLAN

2023

010746953

2024-09-13

VARICOSITY, LLC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2019-01-01
Business code	621111
Sponsor’s telephone number	2058734049
Plan sponsor’s address	2704 20TH STREET SOUTH, SUITE 100, HOMEWOOD, AL, 35209

Signature of

Role	Plan administrator
Date	2024-09-13
Name of individual signing	BRIAN CAFFREY
Valid signature	Filed with authorized/valid electronic signature

VARICOSITY, LLC 401(K) PLAN

2019

010746953

2021-03-31

VARICOSITY, LLC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2010-01-01
Business code	621111
Sponsor’s telephone number	2055921800
Plan sponsor’s address	2704 20TH STREET SOUTH, STE. 100, HOMEWOOD, AL, 35209

Signature of

Role	Plan administrator
Date	2021-03-31
Name of individual signing	CARLTON D. RANDLEMAN, JR.

Role	Employer/plan sponsor
Date	2021-03-31
Name of individual signing	CARLTON D. RANDLEMAN, JR.

VARICOSITY, LLC 401(K) PLAN

2018

010746953

2019-08-22

VARICOSITY, LLC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2010-01-01
Business code	621111
Sponsor’s telephone number	2055921800
Plan sponsor’s address	2704 20TH STREET SOUTH, STE. 100, HOMEWOOD, AL, 35209

Signature of

Role	Plan administrator
Date	2019-08-22
Name of individual signing	CARLTON D. RANDLEMAN, JR.

Role	Employer/plan sponsor
Date	2019-08-22
Name of individual signing	CARLTON D. RANDLEMAN, JR.

VARICOSITY, LLC 401(K) PLAN

2013

010746953

2014-10-13

VARICOSITY, LLC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2010-01-01
Business code	621111
Sponsor’s telephone number	2055921800
Plan sponsor’s address	2704 20TH STREET, HOMEWOOD, AL, 352091924

Signature of

Role	Plan administrator
Date	2014-10-13
Name of individual signing	CARLTON D. RANDLEMAN, JR.

Role	Employer/plan sponsor
Date	2014-10-13
Name of individual signing	CARLTON D. RANDLEMAN, JR.

VARICOSITY, LLC 401(K) PLAN

2012

010746953

2013-10-05

VARICOSITY, LLC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2010-01-01
Business code	621111
Sponsor’s telephone number	2055921800
Plan sponsor’s address	806 SAINT VINCENTS DRIVE, SUITE 410, BIRMINGHAM, AL, 352051616

Signature of

Role	Plan administrator
Date	2013-10-04
Name of individual signing	CARLTON D. RANDLEMAN, JR.

Role	Employer/plan sponsor
Date	2013-10-04
Name of individual signing	CARLTON D. RANDLEMAN, JR.

VARICOSITY, LLC 401(K) PLAN

2011

010746953

2012-09-26

VARICOSITY, LLC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2010-01-01
Business code	621111
Sponsor’s telephone number	2055921800
Plan sponsor’s address	806 SAINT VINCENTS DRIVE, SUITE 410, BIRMINGHAM, AL, 352051616

Plan administrator’s name and address

Administrator’s EIN	010746953
Plan administrator’s name	VARICOSITY, LLC
Plan administrator’s address	806 SAINT VINCENTS DRIVE, SUITE 410, BIRMINGHAM, AL, 352051616
Administrator’s telephone number	2055921800

Signature of

Role	Plan administrator
Date	2012-09-26
Name of individual signing	CARLTON D. RANDLEMAN, JR.

Role	Employer/plan sponsor
Date	2012-09-26
Name of individual signing	CARLTON D. RANDLEMAN, JR.

VARICOSITY, LLC 401(K) PLAN

2010

010746953

2011-10-06

VARICOSITY, LLC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2010-01-01
Business code	621111
Sponsor’s telephone number	2055921800
Plan sponsor’s address	880 MONTCLAIR ROAD, SUITE 380, BIRMINGHAM, AL, 352131979

Plan administrator’s name and address

Administrator’s EIN	010746953
Plan administrator’s name	VARICOSITY, LLC
Plan administrator’s address	880 MONTCLAIR ROAD, SUITE 380, BIRMINGHAM, AL, 352131979
Administrator’s telephone number	2055921800

Signature of

Role	Plan administrator
Date	2011-10-06
Name of individual signing	CARLTON DUANE RANDLEMAN

Role	Employer/plan sponsor
Date	2011-10-06
Name of individual signing	CARLTON D. RANDLEMAN, JR.

Agent

Name	Role
RANDLEMAN, C DUA	Agent

Member

Name	Role	Address
RANDLEMAN, C D JR	Member	2704 20TH STREET SOUTH SUITE 100BIRMINGHAM, AL 35209

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State

Varicosity, LLC

Details

National Provider Identifier

form 5500

Agent

Member

Related by officers

Related by address