| Name: | SSD, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 26 Jan 2021 (4 years ago) (Companies founded in January 2021) |
| Entity Number: | 000-831-815 |
| Register Number: | 000831815 |
| ZIP code: | 35235 (Companies in Jefferson, 35235) |
| County: | Jefferson |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 48 MEDICAL PARK DRIVE EAST, SUITE 458BIRMINGHAM, AL 35235 |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FU7GMKWNMHN9 | 2025-01-24 | 48 MEDICAL PARK DR E STE 458, BIRMINGHAM, AL, 35235, 3473, USA | 48 MEDICAL PARK DR E STE 458, BIRMINGHAM, AL, 35235, USA | |||||||||||||||||||||||||||||||||||||||||||||
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| Division Name | SOUTHERN SKIES DERMATOLOGY & SURGERY |
| Congressional District | 06 |
| State/Country of Incorporation | AL, USA |
| Activation Date | 2024-01-29 |
| Initial Registration Date | 2024-01-25 |
| Entity Start Date | 2021-06-01 |
| Fiscal Year End Close Date | Dec 31 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | MARIO MARUTHUR |
| Address | 48 MEDICAL PARK DR E STE 458, BIRMINGHAM, AL, 35235, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | MARIO MARUTHUR |
| Address | 48 MEDICAL PARK DR E STE 458, BIRMINGHAM, AL, 35235, USA |
| Past Performance | |
|---|---|
| Title | PRIMARY POC |
| Name | ALVARO GONZALEZ |
| Address | 48 MEDICAL PARK DR E STE 458, BIRMINGHAM, AL, 35235, USA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134700131 | 2021-04-20 | 2024-01-09 | 48 MEDICAL PARK DR E STE 458, BIRMINGHAM, AL, 352353473, US | 48 MEDICAL PARK DR E STE 458, BIRMINGHAM, AL, 352353473, US | |||||||||||||||||||
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| Phone | +1 205-838-1811 |
| Fax | 2058384525 |
Authorized person
| Name | DR. MARIO KUMAR MARUTHUR |
| Role | PHYSICIAN OWNER |
| Phone | 2059002000 |
Taxonomy
| Taxonomy Code | 207N00000X - Dermatology Physician |
| Is Primary | Yes |
| Taxonomy Code | 207ND0101X - MOHS-Micrographic Surgery Physician |
| Is Primary | No |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SSD, LLC 401(K) PROFIT SHARING PLAN | 2023 | 861744710 | 2024-10-08 | SSD, LLC | 17 | |||||||||||||
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| SSD, LLC 401(K) PROFIT SHARING PLAN | 2022 | 861744710 | 2023-08-23 | SSD, LLC | 19 | |||||||||||||
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| SSD, LLC 401(K) PROFIT SHARING PLAN | 2021 | 861744710 | 2022-10-14 | SSD, LLC | 4 | |||||||||||||
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| Name | Role |
|---|---|
| MARUTHUR, MARIO | Agent |
Date of last update: 16 Aug 2024
Sources: Alabama Secretary of State
