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Specialized Medical Devices, Inc.

Details

Name: Specialized Medical Devices, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 14 Sep 1990 (34 years ago) (Companies founded in September 1990)
Entity Number: 000-139-094
Register Number: 000139094
Place of Formation: Madison County
Registered Office Street Address: 444 SOUTH PERRY STREETMONTGOMERY, AL 36104-0347
Authorized Capital: $2,000
Paid Share Capital: $999

Activities SURGICAL & MEDICAL EQUIPMENT & SUPPLY STORE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1780781195 2006-09-20 2023-09-29 3325 BARTLETT BLVD, ORLANDO, FL, 328116428, US 4031 BALMORAL DR SW STE B, HUNTSVILLE, AL, 358016403, US

Contacts
Phone +1 407-515-2070
Phone +1 256-536-4161
Fax 2565367638

Authorized person
Name WENDY RUSSALESI
Role AUTHORIZED OFFICIAL, OFFICER
Phone 4842469499

Taxonomy
Taxonomy Code 332BX2000X - Oxygen Equipment & Supplies (DME)
State AL
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 000056785
State AL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SPECIALIZED MEDICAL DEVICES, INC. 401(K) PLAN 2020 631029699 2021-06-30 SPECIALIZED MEDICAL DEVICES, INC. 48
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-09-01
Business code 812990
Sponsor’s telephone number 2565367676
Plan sponsor’s address 3001 12TH AVENUE, HUNTSVILLE, AL, 35805

Signature of
Role Plan administrator
Date 2021-06-30
Name of individual signing LINDA KILLIAN
Role Employer/plan sponsor
Date 2021-06-30
Name of individual signing LINDA KILLIAN
SPECIALIZED MEDICAL DEVICES, INC. 401(K) PLAN 2019 631029699 2020-07-23 SPECIALIZED MEDICAL DEVICES, INC. 61
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-09-01
Business code 812990
Sponsor’s telephone number 2565367676
Plan sponsor’s address 3001 12TH AVENUE, HUNTSVILLE, AL, 35805

Signature of
Role Plan administrator
Date 2020-07-22
Name of individual signing LINDA KILLIAN
Role Employer/plan sponsor
Date 2020-07-22
Name of individual signing LINDA KILLIAN
SPECIALIZED MEDICAL DEVICES, INC. 401(K) PLAN 2018 631029699 2019-10-14 SPECIALIZED MEDICAL DEVICES, INC. 48
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-09-01
Business code 812990
Sponsor’s telephone number 2565367676
Plan sponsor’s address 3001 12TH AVENUE, HUNTSVILLE, AL, 35805

Signature of
Role Plan administrator
Date 2019-10-14
Name of individual signing LINDA KILLIAN
Role Employer/plan sponsor
Date 2019-10-14
Name of individual signing LINDA KILLIAN
SPECIALIZED MEDICAL DEVICES, INC. 401(K) PLAN 2017 631029699 2018-10-10 SPECIALIZED MEDICAL DEVICES, INC. 29
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-09-01
Business code 812990
Sponsor’s telephone number 2565367676
Plan sponsor’s address 3001 12TH AVENUE, HUNTSVILLE, AL, 35805

Signature of
Role Plan administrator
Date 2018-10-10
Name of individual signing LINDA KILLIAN
Role Employer/plan sponsor
Date 2018-10-10
Name of individual signing LINDA KILLIAN
SPECIALIZED MEDICAL DEVICES, INC. 401(K) PLAN 2016 631029699 2017-09-27 SPECIALIZED MEDICAL DEVICES, INC. 32
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-09-01
Business code 812990
Sponsor’s telephone number 2565367676
Plan sponsor’s address 3001 12TH AVENUE, HUNTSVILLE, AL, 35805

Signature of
Role Plan administrator
Date 2017-09-27
Name of individual signing LINDA KILLIAN
Role Employer/plan sponsor
Date 2017-09-27
Name of individual signing LINDA KILLIAN
SPECIALIZED MEDICAL DEVICES, INC. 401(K) PLAN 2015 631029699 2016-10-05 SPECIALIZED MEDICAL DEVICES, INC. 26
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-09-01
Business code 812990
Sponsor’s telephone number 2565367676
Plan sponsor’s address 544 TILL DAVIS ROAD, LANGSTON, AL, 35755

Signature of
Role Plan administrator
Date 2016-10-05
Name of individual signing LINDA KILLIAN
Role Employer/plan sponsor
Date 2016-10-05
Name of individual signing LINDA KILLIAN
SPECIALIZED MEDICAL DEVICES, INC. 401(K) PLAN 2014 631029699 2015-08-27 SPECIALIZED MEDICAL DEVICES, INC. 27
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-09-01
Business code 812990
Sponsor’s telephone number 2565367676
Plan sponsor’s address 3001 12TH AVENUE SW, HUNTSVILLE, AL, 35805

Signature of
Role Plan administrator
Date 2015-08-26
Name of individual signing LINDA KILLIAN
Role Employer/plan sponsor
Date 2015-08-26
Name of individual signing LINDA KILLIAN

Agent

Name Role
RICHARD H GILL Agent

Incorporator

Name Role
KILLIAN, MICHAEL A Incorporator
BUCKLE, THOMAS F DR Incorporator
SMITH, DAVID T DR Incorporator

Events

Event Date Event Type Old Value New Value
2000-11-29 Capital Change $1,332 Authorized --- Paid In $2,000 Authorized $999 Paid In
1992-09-08 Capital Change $999 Authorized --- Paid In $1,332 Authorized --- Paid In

Related by officers

RICHARD H GILL

Medical Logic Ft. Walton, Inc. Grace Medical Equipment Inc dba grace healthcare Don Beri Apartments, LLC United Container Leasing Corp. Aerocare Home Medical, Inc. Hornbeak LLC

KILLIAN, MICHAEL A

Mi2to Health Management Services, L.L.C.

Related by address

444 SOUTH PERRY STREETMONTGOMERY, AL 36104-0347

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Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State

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