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
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 | |||||||||||||||||||||||||
|
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 |
Name | Role | Address |
---|---|---|
CARTER, JOHN E | Agent | 5850 MAIN SUITE 109MILLBROOK, AL 36054 |
Name | Role | Address |
---|---|---|
CARTER, JOHN E | Director | 5850 MAIN SUITE 109MILLBROOK, AL 36054 |
Name | Role | Address |
---|---|---|
MORGAN, ROBERT | Incorporator | 3063 CO. RD. 3REFORM, AL 35481 |
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