| Name: | Tarrant Medical, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 16 Aug 2021 (3 years ago) (Companies founded in August 2021) |
| Entity Number: | 000-878-277 |
| Register Number: | 000878277 |
| ZIP code: | 35217 (Companies in Jefferson, 35217) |
| County: | Jefferson |
| Place of Formation: | Alabama |
| Principal Address: | 2038 Springdale LaneTarrant, AL 35217 |
| Authorized Capital: | 1000 |
| Paid Share Capital: | 1.00 |
Activities
See attached
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568138980 | 2021-08-17 | 2023-12-13 | 2038 SPRINGDALE LN, TARRANT, AL, 352172028, US | 2038 SPRINGDALE LN, TARRANT, AL, 352172028, US | |||||||||||||||||
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| Phone | +1 205-841-7665 |
Authorized person
| Name | DR. SIDDHARTH SHAH |
| Role | PHYSICIAN OWNER |
| Phone | 2058417665 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | No |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TARRANT MEDICAL P.C. 401(K) PROFIT SHARING PLAN | 2023 | 872183228 | 2024-03-12 | TARRANT MEDICAL P.C. | 7 | |||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-03-12 |
| Name of individual signing | JEFF DANCE |
| Role | Employer/plan sponsor |
| Date | 2024-03-12 |
| Name of individual signing | JEFF DANCE |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2022-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2055475626 |
| Plan sponsor’s address | 2038 SPRINGDALE LANE, BIRMINGHAM, AL, 35217 |
Signature of
| Role | Plan administrator |
| Date | 2023-07-12 |
| Name of individual signing | JEFF DANCE |
| Role | Employer/plan sponsor |
| Date | 2023-07-12 |
| Name of individual signing | JEFF DANCE |
| Name | Role | Address |
|---|---|---|
| Shah, Siddharth R M.D. | Agent | 2038 Springdale LaneTarrant, AL 35217 |
| Name | Role | Address |
|---|---|---|
| Shah, Siddharth R M.D. | Incorporator | 2038 Springdale LaneTarrant, AL 35217 |
Date of last update: 16 Aug 2024
Sources: Alabama Secretary of State
