0001941513-23-000001.txt : 20230727 0001941513-23-000001.hdr.sgml : 20230727 20230727124537 ACCESSION NUMBER: 0001941513-23-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20230727 DATE AS OF CHANGE: 20230727 EFFECTIVENESS DATE: 20230727 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: 021-488047 FILM NUMBER: 231116748 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 700 South Henderson Road Suite 335 King of Prussia PA PENNSYLVANIA 19406 610-337-2828 PENNSYLVANIA None None Limited Liability Company true Robert Baron 700 South Henderson Road Suite 335 King of Prussia PA PENNSYLVANIA 19406 Director Member of Board of Managers Adrienne McCall 700 South Henderson Road Suite 335 King of Prussia PA PENNSYLVANIA 19406 Director Member of Board of Managers Denis Rogers, MD 700 South Henderson Road Suite 335 King of Prussia PA PENNSYLVANIA 19406 Director Member of Board of Managers Jennifer Romond 700 South Henderson Road Suite 335 King of Prussia PA PENNSYLVANIA 19406 Director Member of Board of Managers Jeffery Rowe, MD 700 South Henderson Road Suite 335 King of Prussia PA PENNSYLVANIA 19406 Director Member of Board of Managers Roy Lerman, MD 700 South Henderson Road Suite 335 King of Prussia PA PENNSYLVANIA 19406 Executive Officer Member of Board of Managers; Vice President Barry Graf 700 South Henderson Road Suite 335 King of Prussia PA PENNSYLVANIA 19406 Executive Officer President Other Health Care Decline to Disclose 06b false true false true false 0 N/A None SCA Development, LLC 35451 569 Brookwood Village Suite 901 Birmingham AL ALABAMA 35209 PA PENNSYLVANIA false 459720 0 459720 false 0 0 0 0 false Main Line Spine Surgery Center, LLC /s/ Meagan O. Jones Meagan O. Jones Attorney for Issuer 2023-07-27