| Name: | MONTGOMERY MEDICAL SUPPLY INC. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 06 Apr 2011 (14 years ago) |
| Entity Number: | 000-008-444 |
| Register Number: | 000008444 |
| County: | Autauga |
| Place of Formation: | Autauga County |
| Registered Office Street Address: | 466 EAST MAIN STPRATTVILLE, AL 36067 |
| Registered Office Street Address ZIP Code: | 36067 |
| Authorized Capital: | 1,000 @ $1 PV |
Activities
BUY/SELL/DEAL IN/SERVICING/MAINTAIN MEDICAL EQUIPMENT
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1548551260 | 2011-04-28 | 2023-10-27 | 220 W GERMANTOWN PIKE STE 250, PLYMOUTH MEETING, PA, 194621437, US | 440 SAINT LUKES DR STE A, MONTGOMERY, AL, 361177104, US | |||||||||||||||||||||||
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| Phone | +1 334-834-5977 |
| Fax | 3348345957 |
Authorized person
| Name | WENDY RUSSALESI |
| Role | CCO |
| Phone | 4842469499 |
Taxonomy
| Taxonomy Code | 332BX2000X - Oxygen Equipment & Supplies (DME) |
| License Number | 111359 |
| State | AL |
| Is Primary | Yes |
| Taxonomy Code | 332BX2000X - Oxygen Equipment & Supplies (DME) |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| WAITES, KELLY W | Incorporator | 466 EAST MAIN STREETPRATTVILLE, AL 36067 |
| WAITES, MICHAEL C Q | Incorporator | 161 OLD AUTAGAVILLE RDPRATTVILLE, AL 36067 |
| Name | Role | Address |
|---|---|---|
| WAITES, MICHAEL C | Agent | 466 EAST MAIN STREETPRATTVILLE, AL 36067 |
| Name | Role | Address |
|---|---|---|
| WAITES, MICHAEL C | Director | 466 EAST MAIN STREETPRATTVILLE, AL 36067 |
| WAITES, KELLY W | Director | 466 EAST MAIN STREETPRATTVILLE, AL 36067 |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
