| Name: | TLC Pediatrics, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Series Limited Liability Company |
| Status: | Exists |
| Date of registration: | 19 Feb 2020 (5 years ago) |
| Entity Number: | 000-623-679 |
| Register Number: | 000623679 |
| ZIP code: | 35613 |
| County: | Limestone |
| Place of Formation: | Limestone County |
| Registered Office Street Address: | 22335 US HIGHWAY 72 ST CATHENS, AL 35613 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1811523137 | 2020-03-18 | 2020-11-23 | 22335 US HIGHWAY 72 STE C, ATHENS, AL, 356132611, US | 22335 US HIGHWAY 72 STE C, ATHENS, AL, 356132611, US | |||||||||||||
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| Phone | +1 256-585-5626 |
Authorized person
| Name | TEAIRAH WILDER |
| Role | OWNER/CRNP |
| Phone | 2568704111 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TLC PEDIATRICS 401(K) PLAN | 2023 | 844714209 | 2024-09-26 | TLC PEDIATRICS | 4 | |||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-09-26 |
| Name of individual signing | WILDA GADD |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2024-09-26 |
| Name of individual signing | TEAIRAH WILDER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| MAYHALL, JONATHAN F. | Organizer | 655 GALLATIN STREET NWHUNTSVILLE, AL 35801 |
| Name | Role |
|---|---|
| WILDER, TEAIRAH M | Agent |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
