Name: | Alliance Medical Solutions, L.L.C. |
Jurisdiction: | Alabama |
Legal type: | Foreign Limited Liability Company |
Status: | Exists |
Date of registration: | 05 Dec 2006 (18 years ago) |
Entity Number: | 000-613-877 |
Register Number: | 000613877 |
County: | Jefferson |
Place of Formation: | Kentucky |
Principal Address: | 3006 EASTPOINT PKWYLOUISVILLE, KY 40223-4185 |
Registered Office Street Address: | 800 SHADES CREEK PKWY STE 400BIRMINGHAM, AL 35209 |
Registered Office Street Address ZIP Code: | 35209 |
Activities
DURABLE MEDICAL EQUIPMENT SUPPLIER (HEALTH CARE)
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1306176672 | 2010-01-08 | 2010-12-13 | 3006 EASTPOINT PKWY, LOUISVILLE, KY, 402234185, US | 600 BOULEVARD SOUTH, SUITE 104, HUNTSVILLE, AL, 358022175, US | |||||||||||||||||||||||||||||
|
Phone | +1 502-253-6881 |
Fax | 5022536882 |
Phone | +1 256-705-3545 |
Fax | 2567053513 |
Authorized person
Name | MR. MIKE PITINO |
Role | PRESIDENT |
Phone | 5022536881 |
Taxonomy
Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
License Number | 940 |
State | AL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 009914272 |
State | AL |
Name | Role | Address |
---|---|---|
WALLACE, R DALE | Agent | 800 SHADES CREEK PARKWAY SUITE 400BIRMINGHAM, AL 35209 |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State