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West Alabama Anesthesia, LLC

Details

Name: West Alabama Anesthesia, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 28 Dec 2007 (17 years ago)
Entity Number: 000-413-913
Register Number: 000413913
ZIP code: 35406
County: Tuscaloosa
Place of Formation: Tuscaloosa County
Principal Address: TUSCALOOSA, AL
Registered Office Street Address: 1788 MCFARLAND BLVD NORTH STE BTUSCALOOSA, AL 35406

Activities ANESTHESIOLOGY SERVICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1275718637 2008-01-04 2022-04-05 PO BOX 660257, BIRMINGHAM, AL, 352660257, US 2700 HOSPITAL DR, NORTHPORT, AL, 354763360, US

Contacts

Phone +1 205-979-5882
Fax 2059791248
Phone +1 205-333-4500

Authorized person

Name DR. LEE C. CARTER
Role PRESIDENT
Phone 2055853520

Taxonomy

Taxonomy Code 207L00000X - Anesthesiology Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WEST ALABAMA ANESTHESIA, LLC CASH BALANCE PLAN 2018 261366026 2019-03-28 WEST ALABAMA ANESTHESIA, LLC 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2058713520
Plan sponsor’s address 2835 REGATTA WAY, TUSCALOOSA, AL, 35406

Signature of

Role Plan administrator
Date 2019-03-28
Name of individual signing LEE CARTER
WEST ALABAMA ANESTHESIA, LLC CASH BALANCE PLAN 2018 261366026 2019-08-19 WEST ALABAMA ANESTHESIA, LLC 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2058713520
Plan sponsor’s address 2835 REGATTA WAY, TUSCALOOSA, AL, 35406

Signature of

Role Plan administrator
Date 2019-08-19
Name of individual signing LEE CARTER
WEST ALABAMA ANESTHESIA, LLC CASH BALANCE PLAN 2017 261366026 2018-03-26 WEST ALABAMA ANESTHESIA, LLC 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2058713520
Plan sponsor’s address 2835 REGATTA WAY, TUSCALOOSA, AL, 35406

Signature of

Role Plan administrator
Date 2018-03-26
Name of individual signing LEE CARTER
WEST ALABAMA ANESTHESIA, LLC CASH BALANCE PLAN 2016 261366026 2017-04-03 WEST ALABAMA ANESTHESIA, LLC 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2058713520
Plan sponsor’s address 2835 REGATTA WAY, TUSCALOOSA, AL, 35406

Signature of

Role Plan administrator
Date 2017-04-03
Name of individual signing LEE CARTER
WEST ALABAMA ANESTHESIA, LLC CASH BALANCE PLAN 2015 261366026 2016-02-11 WEST ALABAMA ANESTHESIA, LLC 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2058713520
Plan sponsor’s address 2835 REGATTA WAY, TUSCALOOSA, AL, 35406

Signature of

Role Plan administrator
Date 2016-02-11
Name of individual signing LEE CARTER
WEST ALABAMA ANESTHESIA, LLC CASH BALANCE PLAN 2014 261366026 2015-03-12 WEST ALABAMA ANESTHESIA, LLC 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2058713520
Plan sponsor’s address 2835 REGATTA WAY, TUSCALOOSA, AL, 35406

Signature of

Role Plan administrator
Date 2015-02-19
Name of individual signing LEE CARTER
WEST ALABAMA ANESTHESIA, LLC CASH BALANCE PLAN 2013 261366026 2014-05-28 WEST ALABAMA ANESTHESIA, LLC 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2058713520
Plan sponsor’s address 2835 REGATTA WAY, TUSCALOOSA, AL, 35406

Signature of

Role Plan administrator
Date 2014-05-28
Name of individual signing LEE CARTER

Agent

Name Role Address
STAGGS, CLAY Agent 701 22ND AVENUE, SUITE 1TUSCALOOSA, AL 35401

Member

Name Role Address
CARTER, LEE Member No data
ROCK, FRED Member No data
VERZINO, DAVID Member 2835 REGATTA WAYTUSCALOOSA, AL 35406

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State