0001941513-22-000001.txt : 20220805 0001941513-22-000001.hdr.sgml : 20220805 20220805160258 ACCESSION NUMBER: 0001941513-22-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20220805 DATE AS OF CHANGE: 20220805 EFFECTIVENESS DATE: 20220805 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Main Line Spine Surgery Center, LLC CENTRAL INDEX KEY: 0001941513 IRS NUMBER: 852278858 STATE OF INCORPORATION: PA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-455090 FILM NUMBER: 221140709 BUSINESS ADDRESS: STREET 1: 569 BROOKWOOD VILLAGE STREET 2: SUITE 901 CITY: BIRMINGHAM STATE: AL ZIP: 35209 BUSINESS PHONE: 205-545-2734 MAIL ADDRESS: STREET 1: 569 BROOKWOOD VILLAGE STREET 2: SUITE 901 CITY: BIRMINGHAM STATE: AL ZIP: 35209 D 1 primary_doc.xml X0708 D LIVE 0001941513 Main Line Spine Surgery Center, LLC 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM AL ALABAMA 35209 205-545-2734 PENNSYLVANIA None None Limited Liability Company true Adrienne McCall 569 Brookwood Village, Suite 901 SUITE 901 Birmingham AL ALABAMA 35209 Director Robert Baron 569 Brookwood Village, Suite 901 SUITE 901 Birmingham AL ALABAMA 35209 Director Jennifer Romond 569 Brookwood Village, Suite 901 SUITE 901 Birmingham AL ALABAMA 35209 Director Roy Lerman, MD 569 Brookwood Village, Suite 901 SUITE 901 Birmingham AL ALABAMA 35209 Executive Officer Director Denis Rogers, MD 569 Brookwood Village, Suite 901 SUITE 901 Birmingham AL ALABAMA 35209 Director Jeffery Rowe, MD 569 Brookwood Village, Suite 901 SUITE 901 Birmingham AL ALABAMA 35209 Director Barry Graf 569 Brookwood Village, Suite 901 SUITE 901 Birmingham AL ALABAMA 35209 Executive Officer Other Health Care Decline to Disclose 06b false true false true false 0 SCA Development, LLC 35451 None None 569 Brookwood Village, Suite 901 SUITE 901 Birmingham AL ALABAMA 35209 PA PENNSYLVANIA false 480000 0 480000 false 0 10000 true 0 0 false Main Line Spine Surgery Center, LLC Adrienne McCall Adrienne McCall Director 2022-08-05