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The SCOOTER Store-Mobile, LLC

Details

Name: The SCOOTER Store-Mobile, LLC
Jurisdiction: Alabama
Legal type: Foreign Limited Liability Company
Status: Exists
Date of registration: 27 Jul 2001 (23 years ago) (Companies founded in July 2001)
Entity Number: 000-603-465
Register Number: 000603465
ZIP code: 36104 (Companies in Montgomery, 36104)
County: Montgomery
Place of Formation: Nevada
Principal Address: 3305 W SPRING MOUNTAIN ROAD STE 60LAS VEGAS, NV 89102
Registered Office Street Address: 150 S PERRY STMONTGOMERY, AL 36104

Activities SALES/SERVICE OF POWER WHEELCHAIRS
POWER SCOOTER

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1396766234 2006-07-23 2013-08-09 P.O. BOX 310709, NEW BRAUNFELS, TX, 781310709, US 2810 HORACE SHEPARD DR., DOTHAN, AL, 363031007, US

Contacts

Phone +1 830-626-4013
Fax 8006880957
Phone +1 334-984-0168
Fax 8772305010

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 1396766234
State AL
Issuer MEDICAID
Number 002754100
State FL
Issuer MEDICAID
Number 383886973A
State GA

Agent

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