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Southeast Diabetes, Inc.

Headquarter

Details

Name: Southeast Diabetes, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 30 Mar 2009 (16 years ago)
Entity Number: 000-260-506
Register Number: 000260506
Historical Names: SBD Diabetic Supplies, Inc.
ZIP code: 35242
County: Shelby
Place of Formation: Dallas County
Principal Address: 11 INVERNESS CENTER PKWYHOOVER, AL 35242
Registered Office Street Address: 200 OFFICE PARK DRIVE SUITE 215MOUNTAIN BROOK, AL 35223
Authorized Capital: $10,000

Activities SALE OF DIABETIC SUPPLIES

Links between entities

Type Company Name Company Number State
Headquarter of Southeast Diabetes, Inc., FLORIDA F24000001176 FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1093954844 2009-02-17 2023-01-20 31 INVERNESS CENTER PKWY STE 400, BIRMINGHAM, AL, 352424823, US 11 INVERNESS CENTER PKWY, BIRMINGHAM, AL, 352424823, US

Contacts

Phone +1 205-783-5111
Fax 8884706890

Authorized person

Name MR. JOHN CARTER
Role OWNER/OPERATOR
Phone 2057835111

Taxonomy

Taxonomy Code 332B00000X - Durable Medical Equipment & Medical Supplies
License Number 20092586
State AL
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 196916
State AL

Agent

Name Role Address
CARTER, JOHN E Agent 5850 MAIN SUITE 109MILLBROOK, AL 36054

Director

Name Role Address
CARTER, JOHN E Director 5850 MAIN SUITE 109MILLBROOK, AL 36054

Incorporator

Name Role Address
MORGAN, ROBERT Incorporator 3063 CO. RD. 3REFORM, AL 35481

Events

Event Date Event Type Old Value New Value
2017-05-30 Name Change SBD Diabetic Supplies, Inc. Southeast Diabetes, Inc.

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State