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Southeast Diabetes, Inc.

Details

Name: Southeast Diabetes, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 30 Mar 2009 (16 years ago)
Entity Number: 000-260-506
Register Number: 000260506
Historical Names: SBD Diabetic Supplies, Inc.
County: Shelby
Place of Formation: Dallas County
Principal Address: 11 INVERNESS CENTER PKWYHOOVER, AL 35242
Principal Address ZIP Code: 35242
Registered Office Street Address: 200 OFFICE PARK DRIVE SUITE 215MOUNTAIN BROOK, AL 35223
Registered Office Street Address ZIP Code: 35223
Authorized Capital: $10,000

Activities SALE OF DIABETIC SUPPLIES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1093954844 2009-02-17 2023-01-20 31 INVERNESS CENTER PKWY STE 400, BIRMINGHAM, AL, 352424823, US 11 INVERNESS CENTER PKWY, BIRMINGHAM, AL, 352424823, US

Contacts

Phone +1 205-783-5111
Fax 8884706890

Authorized person

Name MR. JOHN CARTER
Role OWNER/OPERATOR
Phone 2057835111

Taxonomy

Taxonomy Code 332B00000X - Durable Medical Equipment & Medical Supplies
License Number 20092586
State AL
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 196916
State AL

Agent

Name Role Address
CARTER, JOHN E Agent 5850 MAIN SUITE 109MILLBROOK, AL 36054

Director

Name Role Address
CARTER, JOHN E Director 5850 MAIN SUITE 109MILLBROOK, AL 36054

Incorporator

Name Role Address
MORGAN, ROBERT Incorporator 3063 CO. RD. 3REFORM, AL 35481

Events

Event Date Event Type Old Value New Value
2017-05-30 Name Change SBD Diabetic Supplies, Inc. Southeast Diabetes, Inc.

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State