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Stateserv Medical of Alabama, LLC

Details

Name: Stateserv Medical of Alabama, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 10 Sep 2010 (14 years ago) (Companies founded in September 2010)
Entity Number: 000-301-666
Register Number: 000301666
ZIP code: 36104 (Companies in Montgomery, 36104)
County: Montgomery
Place of Formation: Montgomery County
Principal Address: MONTGOMERY, AL
Registered Office Street Address: 2 NORTH JACKSON ST STE 605MONTGOMERY, AL 36104

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1205119146 2011-09-27 2019-10-21 1201 S. ALMA SCHOOL ROAD, SUITE 4000, MESA, AZ, 85210, US 269 LYON LN, BIRMINGHAM, AL, 352116407, US

Contacts

Phone +1 336-227-8030
Fax 3362273288
Phone +1 205-290-1117
Fax 8662800415

Authorized person

Name CHRISTOPHER ROODE
Role COO
Phone 8776337250

Taxonomy

Taxonomy Code 332B00000X - Durable Medical Equipment & Medical Supplies
License Number 1014
State AL
Is Primary Yes
Taxonomy Code 332BX2000X - Oxygen Equipment & Supplies (DME)
License Number 900774
State AL
Is Primary No

Agent

Name Role Address
CT CORPORATION SYSTEM Agent 6190 POWERS FERRY RD STE 600ATLANTA, GA 30339

Member

Name Role
PERRE, ANTHONY R Member
PAXSON, CHARLES M Member
DICOSMO, PAUL A Member
ROODE, CHRISTOPHER A Member
ALLISON, THOMAS E Member

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State