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Pedicure, LLC

Details

Name: Pedicure, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 23 Jan 2003 (22 years ago)
Date of dissolution: 09 Jan 2008
Entity Number: 000-687-501
Register Number: 000687501
County: Jefferson
Place of Formation: Jefferson County
Principal Address: BIRMINGHAM, AL
Registered Office Street Address: 2090 COLUMBIANA RD STE 2000BIRMINGHAM, AL 35216
Registered Office Street Address ZIP Code: 35216

Activities RETAIL BUSINESS/REAL ESTATE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1023045325 2006-06-26 2007-08-17 250 TRACE RIDGE RD, BIRMINGHAM, AL, 352443924, US 250 TRACE RIDGE RD, BIRMINGHAM, AL, 352443924, US

Contacts

Phone +1 205-276-3030
Fax 2059827931

Authorized person

Name ROBERT THOMPSON
Role SOLE MEMBER/OWNER
Phone 2052763030

Taxonomy

Taxonomy Code 332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary Yes

Other Provider Identifiers

Issuer BLUE CROSS
Number 51518919
State AL

Member

Name Role
THOMPSON, ROBERT P Member

Agent

Name Role Address
HASTY, WILLIAM D JR Agent 2090 COLUMBIANA ROAD STE 2000BIRMINGHAM, AL 35216

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State