| Name: | The SCOOTER Store-Birmingham, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Limited Liability Company |
| Status: | Exists |
| Date of registration: | 27 Jul 2001 (23 years ago) |
| Entity Number: | 000-603-464 |
| Register Number: | 000603464 |
| ZIP code: | 36104 |
| County: | Montgomery |
| Place of Formation: | Nevada |
| Principal Address: | 3728 1ST AVENUE NORTHBIRMINGHAM, AL 35222-1302 |
| Registered Office Street Address: | 150 S PERRY STMONTGOMERY, AL 36104 |
Activities
SALES/SERVICE OF POWER WHEELCHAIRS
POWER SCOOTERS
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1669407334 | 2006-07-11 | 2013-08-01 | PO BOX 310709, NEW BRAUNFELS, TX, 781310709, US | 3728 1ST AVE N, BIRMINGHAM, AL, 352221302, US | |||||||||||||||||||||||||
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| Phone | +1 205-833-1200 |
Authorized person
| Name | JASON CONE |
| Role | GENERAL COUNSEL & SECRETARY |
| Phone | 8306274433 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 01427344 |
| State | MS |
| Issuer | MEDICAID |
| Number | 009984180 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| CSC LAWYERS INCORPORATING SVC INC | Agent | 2711 CENTERVILLE ROAD, SUITE 400WILMINGTON, DE 19808 |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
