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Synergy Medical, LLC

Details

Name: Synergy Medical, LLC
Jurisdiction: Alabama
Legal type: Foreign Limited Liability Company
Status: Exists
Date of registration: 08 Nov 2012 (12 years ago) (Companies founded in November 2012)
Entity Number: 000-278-350
Register Number: 000278350
ZIP code: 36582 (Companies in Mobile, 36582)
County: Mobile
Place of Formation: South Carolina
Principal Address: 110 N RANDOLPH AVELANDRUM, SC 29356
Registered Office Street Address: 2868 DOG RIVER ROADTHEODORE, AL 36582

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1881035418 2013-07-11 2013-08-05 110 N RANDOLPH AVE, LANDRUM, SC, 293561512, US 831 1ST ST N, ALABASTER, AL, 350078944, US

Contacts

Phone +1 864-457-2222
Fax 8644572269
Phone +1 205-358-9120

Authorized person

Name ARTHUR W ROBBINS
Role OWNER
Phone 8644572222

Taxonomy

Taxonomy Code 332B00000X - Durable Medical Equipment & Medical Supplies
License Number 13549
State SC
Is Primary Yes
Taxonomy Code 335E00000X - Prosthetic/Orthotic Supplier
Is Primary No

Other Provider Identifiers

Issuer MEDICAID
Number DE3416
State SC
Issuer BCBS OF SC
Number 1093952731
State SC
Issuer MEDICAID
Number 7705390
State NC

Agent

Name Role Address
PITTS, BRAD Agent 5570 RANGELINE ROADMOBILE, AL 36619

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State