Search icon

Chase Medical Clinic LLC

Details

Name: Chase Medical Clinic LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 16 Oct 2020 (4 years ago) (Companies founded in October 2020)
Entity Number: 000-745-642
Register Number: 000745642
ZIP code: 35811 (Companies in Madison, 35811)
County: Madison
Place of Formation: Madison County
Registered Office Street Address: 5107 Moores Mill RoadHuntsville, AL 35811
Registered Office Mailing Address: 111 Spencer GrnMadison, AL 35758

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
RL2HTU6BS435 2022-12-02 5107 MOORES MILL RD, HUNTSVILLE, AL, 35811, 1007, USA 5107 MOORES MILL ROAD, HUNTSVILLE, AL, 35811, USA

Business Information

Doing Business As CHASE MEDCARE
Division Name CHASE MEDICAL CLINIC LLC
Congressional District 05
State/Country of Incorporation AL, USA
Activation Date 2021-11-09
Initial Registration Date 2021-09-14
Entity Start Date 2021-02-06
Fiscal Year End Close Date Dec 31

Service Classifications

NAICS Codes 621111, 621399

Points of Contacts

Electronic Business
Title PRIMARY POC
Name MAYURI PATEL
Role MEMBER
Address 5107 MOORES MILL ROAD, HUNTSVILLE, AL, 35811, USA
Government Business
Title PRIMARY POC
Name MAYURI PATEL
Role MEMBER
Address 5107 MOORES MILL ROAD, HUNTSVILLE, AL, 35811, USA
Past Performance Information not Available

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1811593197 2020-12-10 2020-12-10 5107 MOORES MILL RD, HUNTSVILLE, AL, 358111007, US 5107 MOORES MILL RD, HUNTSVILLE, AL, 358111007, US

Contacts

Phone +1 256-851-7190

Authorized person

Name MAYURIBEN PATEL
Role MEMBER
Phone 2568517190

Taxonomy

Taxonomy Code 261QP2300X - Primary Care Clinic/Center
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CHASE MEDICAL CLINIC 401(K) PLAN 2023 853497395 2024-10-09 CHASE MEDICAL CLINIC LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-01-01
Business code 621111
Sponsor’s telephone number 2568517190
Plan sponsor’s address 5107 MOORES MILL ROAD, HUNTSVILLE, AL, 35811
CHASE MEDICAL CLINIC 401(K) PLAN 2022 853497395 2023-09-20 CHASE MEDICAL CLINIC LLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-01-01
Business code 621111
Sponsor’s telephone number 2568517190
Plan sponsor’s address 5107 MOORES MILL ROAD, HUNTSVILLE, AL, 35811

Agent

Name Role Address
Patel, Mayuriben Agent 1804 Hwy 72 EHuntsville, AL 35811

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State