| Name: | ALLERGY, ASTHMA AND IMMUNOLOGY CENTER OF ALASKA, LLC |
| Jurisdiction: | Alaska |
| Legal type: | Limited Liability Company |
| Status: | Good Standing |
| Date of registration: | 31 Dec 2001 (23 years ago) |
| Entity Number: | 75085D |
| ZIP code: | 99508 |
| County: | Anchorage |
| Place of Formation: | ALASKA |
| Address: | 3841 PIPER STREET, SUITE T4-054, ANCHORAGE, AK 99508 |
Line of Business
62 Health Care and Social AssistanceNAICS
621498 ALL OTHER OUTPATIENT CARE CENTERS| Name | Role |
|---|---|
| LAURA M. MOORE M.D., P.C. | Member |
| DLG SERVICES, INC. | Registered Agent |
| Plan Name | Plan Year | EIN/PN | Received | Total number of participants | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ALLERGY, ASTHMA AND IMMUNOLOGY CENTER OF ALASKA, LLC 401(K) PROFIT SHARING PLAN & TRUST | 2012 | 920178082 | 2013-10-07 | 22 | |||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||
| Role | Plan administrator |
| Date | 2013-10-07 |
| Name of individual signing | EILEEN DEMAIN |
| Role | Employer/plan sponsor |
| Date | 2013-10-07 |
| Name of individual signing | EILEEN DEMAIN |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1999-01-01 |
| Sponsor | ALLERGY, ASTHMA AND IMMUNOLOGY CENTER OF ALASKA, LLC |
| Business code | 621111 |
| Sponsor’s telephone number | 9075626228 |
| Plan sponsor’s address | 3841 PIPER STREET, SUITE T4-054, ANCHORAGE, AK, 995084673 |
Plan administrator’s name and address
| Administrator’s EIN | 920178082 |
| Plan administrator’s name | ALLERGY, ASTHMA AND IMMUNOLOGY CENTER OF ALASKA, LLC |
| Plan administrator’s address | 3841 PIPER STREET, SUITE T4-054, ANCHORAGE, AK, 995084673 |
| Administrator’s telephone number | 9075626228 |
Signature of
| Role | Plan administrator |
| Date | 2012-10-15 |
| Name of individual signing | EILEEN DEMAIN |
| Role | Employer/plan sponsor |
| Date | 2012-10-15 |
| Name of individual signing | EILEEN DEMAIN |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1999-01-01 |
| Sponsor | ALLERGY, ASTHMA AND IMMUNOLOGY CENTER OF ALASKA, LLC |
| Business code | 621111 |
| Sponsor’s telephone number | 9075626228 |
| Plan sponsor’s address | 3841 PIPER STREET, SUITE T4-054, ANCHORAGE, AK, 995084673 |
Plan administrator’s name and address
| Administrator’s EIN | 920178082 |
| Plan administrator’s name | ALLERGY, ASTHMA AND IMMUNOLOGY CENTER OF ALASKA, LLC |
| Plan administrator’s address | 3841 PIPER STREET, SUITE T4-054, ANCHORAGE, AK, 995084673 |
| Administrator’s telephone number | 9075626228 |
Signature of
| Role | Plan administrator |
| Date | 2011-10-11 |
| Name of individual signing | EILEEN DEMAIN |
| Role | Employer/plan sponsor |
| Date | 2011-10-11 |
| Name of individual signing | EILEEN DEMAIN |
| License Number | Type | Status | Issue Date | Date of renewal | Expiration date | Description |
|---|---|---|---|---|---|---|
| 288888 | Business License | Active | 2002-05-10 | 2023-10-25 | 2025-12-31 | LOB: 62 - Health Care and Social Assistance, NAICS: 621498 - ALL OTHER OUTPATIENT CARE CENTERS |
| License Number | Program | Type | Status | Issue Date | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|
| 158738 | Telemedicine Business Registry | Telemedicine Business Registry | Active | 2020-03-12 | 2020-03-12 | - |
Date of last update: 24 Jan 2025
Sources: State of Alaska - Department of Commerce, Community, and Economic Development
