| Name: | Lifeguard Transportation Service, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Corporation |
| Status: | Withdrawn |
| Date of registration: | 27 Jul 1998 (26 years ago) (Companies founded in July 1998) |
| Entity Number: | 000-918-690 |
| Register Number: | 000918690 |
| ZIP code: | 36104 (Companies in Montgomery, 36104) |
| County: | Montgomery |
| Place of Formation: | Florida |
| Principal Address: | 310 DOLPHIN STGULF BREEZE, FL 32561 |
| Registered Office Street Address: | 641 SOUTH LAWRENCE STREETMONTGOMERY, AL 36104 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528067881 | 2005-07-19 | 2011-09-15 | P.O. BOX 11361, BIRMINGHAM, AL, 352021361, US | 115 C WALTER DAVIS DR, BIRMINGHAM, AL, 352092847, US | |||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||
| Phone | +1 205-380-2065 |
| Fax | 2053802074 |
| Phone | +1 205-380-0100 |
| Fax | 2053249915 |
Authorized person
| Name | MR. JOHN ROCHE |
| Role | CEO PRESIDENT |
| Phone | 2053802065 |
Taxonomy
| Taxonomy Code | 341600000X - Ambulance |
| License Number | 5549 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 051550455 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| CORPORATION SERVICE COMPANY INC | Agent | 251 LITTLE FALLS DRIVEWILMINGTON, DE 19808 |
Date of last update: 16 Aug 2024
Sources: Alabama Secretary of State
