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 |
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 | |||||||||||||||||||||||||||||||||||||||||||
|
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 |
Name | Role | Address |
---|---|---|
PITTS, BRAD | Agent | 5570 RANGELINE ROADMOBILE, AL 36619 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State