| Name: | Diversified Medical Specialties, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 04 Nov 1994 (30 years ago) |
| Entity Number: | 000-167-759 |
| Register Number: | 000167759 |
| ZIP code: | 35203 |
| County: | Jefferson |
| Place of Formation: | Tuscaloosa County |
| Registered Office Street Address: | 420 N 20TH ST STE 3100BIRMINGHAM, AL 35203 |
| Authorized Capital: | $5,000 |
| Paid Share Capital: | ---- |
Activities
SELLING OF MEDICAL SUPPLIES & SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1407886724 | 2006-07-03 | 2010-10-11 | 961 FAIRFAX PARK, TUSCALOOSA, AL, 354062805, US | 961 FAIRFAX PARK, TUSCALOOSA, AL, 354062805, US | |||||||||||||||||||||||||
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| Phone | +1 205-345-8858 |
| Fax | 2053457991 |
Authorized person
| Name | CLAUDE E LEE |
| Role | VICE PRESIDENT CFO |
| Phone | 2053458858 |
Taxonomy
| Taxonomy Code | 332BN1400X - Nursing Facility Supplies (DME) |
| License Number | 630014349 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 009509590 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| CHRISTIAN, EDWARD R | Agent | 420 20TH ST N STE 3400BIRMINGHAM, AL 35203 |
| Name | Role | Address |
|---|---|---|
| IRBY, RUSSELL L III | Incorporator | 1819 5TH AVENUE NORTH, SUITE 1000BIRMINGHAM, AL 35203 |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2011-12-28 | Name Merged | No data | Northgate Services of Missouri, L.L.C. |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
