| Name: | Quality Diabetes Supplies, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Dissolved |
| Date of registration: | 02 Jan 2003 (22 years ago) (Companies founded in January 2003) |
| Date of dissolution: | 28 Dec 2007 |
| Entity Number: | 000-226-666 |
| Register Number: | 000226666 |
| ZIP code: | 35209 (Companies in Jefferson, 35209) |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Principal Address: | BIRMINGHAM, AL |
| Registered Office Street Address: | 420 BERRY AVEBIRMINGHAM, AL 35209 |
| Authorized Capital: | $10,000 |
Activities
SELL/DISTRIBUTE BLOOD GLUCOSE MONITORING SYSTEMS/SUPPLIES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1407966153 | 2006-08-30 | 2020-08-22 | 438 CARR AVE, SUITE 1, BIRMINGHAM, AL, 352096147, US | 438 CARR AVE, SUITE 1, BIRMINGHAM, AL, 352096147, US | |||||||||||||||||||||||||
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| Phone | +1 205-942-0114 |
| Fax | 2959426472 |
Authorized person
| Name | MR. EDWARD MARK FREDRICKSON |
| Role | PRESIDENT |
| Phone | 2059420114 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | 485 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 7703878 |
| State | NC |
| Name | Role |
|---|---|
| FREDRICKSON, MARK | Agent |
| Name | Role | Address |
|---|---|---|
| LEVITT, RONALD A | Incorporator | PO BOX 55727BIRMINGHAM, AL 35255-5727 |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2003-07-22 | Capital Change | $100 Authorized --- Paid In | $10,000 Authorized undefined Paid In |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
