| Name: | Cardiology and Cardiovascular Surgery, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 24 May 2002 (22 years ago) |
| Entity Number: | 000-682-522 |
| Register Number: | 000682522 |
| Historical Names: |
K & J Cardiology, LLC
Kamran Cardiology, LLC |
| County: | Calhoun |
| Place of Formation: | Calhoun County |
| Principal Address: | ANNISTON, AL |
| Registered Office Street Address: | 1130 LEIGHTON AVEANNISTON, AL 36207 |
| Registered Office Street Address ZIP Code: | 36207 |
Activities
PRACTICE MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1588723597 | 2006-12-06 | 2008-01-14 | 601 LEIGHTON AVE, ANNISTON, AL, 362075743, US | 601 LEIGHTON AVE, ANNISTON, AL, 362075743, US | |||||||||||||||||||
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| Phone | +1 256-240-2427 |
| Fax | 2562375033 |
Authorized person
| Name | DR. MOHAMMAD KAMRAN |
| Role | SOLE OWNER |
| Phone | 2562381154 |
Taxonomy
| Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
| License Number | 18732 |
| State | AL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KAMRAN CARDIOLOGY, LLC 401(K) PLAN | 2018 | 631219042 | 2019-06-12 | KAMRAN CARDIOLOGY, LLC | 5 | |||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2019-06-12 |
| Name of individual signing | JENNIFER MANGHAM |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2017-03-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2562381154 |
| Plan sponsor’s address | 1700 CHRISTINE AVENUE, SUITE 100, ANNISTON, AL, 36207 |
Signature of
| Role | Plan administrator |
| Date | 2019-05-13 |
| Name of individual signing | JENNIFER MANGHAM |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2017-03-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2562381154 |
| Plan sponsor’s address | 1700 CHRISTINE AVENUE, SUITE 100, ANNISTON, AL, 36207 |
Signature of
| Role | Plan administrator |
| Date | 2018-10-15 |
| Name of individual signing | JENNIFER MANGHAM |
| Name | Role |
|---|---|
| KAMRAN, MOHAMMED | Agent |
| Name | Role |
|---|---|
| KAMRAN, MOHAMMED | Member |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2010-09-07 | Name Change | Kamran Cardiology, LLC | Cardiology and Cardiovascular Surgery, LLC |
| 2003-08-14 | Name Change | K & J Cardiology, LLC | Kamran Cardiology, LLC |
| Contract Type | Award or IDV Flag | PIID | Start Date | Current End Date | Potential End Date | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PO | AWARD | DJBP0313IB210078 | 2009-09-24 | 2009-09-24 | 2009-09-24 | |||||||||||||||||||||
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| Title | DR. VISIT |
| NAICS Code | 622110: GENERAL MEDICAL AND SURGICAL HOSPITALS |
| Product and Service Codes | Q999: OTHER MEDICAL SERVICES |
Recipient Details
| Recipient | KAMRAN CARDIOLOGY LLC |
| UEI | ML4SKF2D17C3 |
| Legacy DUNS | 012047909 |
| Recipient Address | UNITED STATES, 1700 CHRISTINE AVE STE 100, ANNISTON, 362073813 |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
