| Name: | Rao Heart & Vascular, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 08 Jul 2021 (3 years ago) |
| Entity Number: | 000-871-967 |
| Register Number: | 000871967 |
| County: | Houston |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 200 MEDICAL CARE WAYDOTHAN, AL 36303 |
| Registered Office Street Address ZIP Code: | 36303 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831864891 | 2021-08-12 | 2021-12-03 | 200 MEDICAL CARE WAY, DOTHAN, AL, 363037013, US | 200 MEDICAL CARE WAY, DOTHAN, AL, 363037013, US | |||||||||||||||||||
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| Phone | +1 334-305-2800 |
| Fax | 3343052801 |
Authorized person
| Name | PETER M RAO |
| Role | OWNER/PHYSICIAN |
| Phone | 3343052800 |
Taxonomy
| Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
| Is Primary | Yes |
| Taxonomy Code | 207RI0011X - Interventional Cardiology Physician |
| Is Primary | No |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RAO HEART & VASCULAR LLC 401(K) PROFIT SHARING PLAN | 2023 | 871712276 | 2024-07-11 | RAO HEART & VASCULAR, LLC | 24 | |||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-07-11 |
| Name of individual signing | LAURA JANSON- AFS |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2022-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 3345963298 |
| Plan sponsor’s address | 200 MEDICAL CARE WAY, DOTHAN, AL, 36303 |
Signature of
| Role | Plan administrator |
| Date | 2023-09-19 |
| Name of individual signing | LAURA JANSON |
| Name | Role |
|---|---|
| Rao, Peter M | Agent |
Date of last update: 16 Aug 2024
Sources: Alabama Secretary of State
