| Name: | Lifeguard Ambulance Service LLC |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Limited Liability Company |
| Status: | Exists |
| Date of registration: | 26 Feb 2014 (11 years ago) |
| Entity Number: | 000-299-425 |
| Register Number: | 000299425 |
| ZIP code: | 35209 |
| County: | Jefferson |
| Place of Formation: | Delaware |
| Principal Address: | 216 Aquarius Drive, Suite 303Birmingham, AL 35209 |
| Registered Office Street Address: | 641 SOUTH LAWRENCE STREETMONTGOMERY, AL 36104 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427613801 | 2019-05-01 | 2019-05-01 | PO BOX 277, BIRMINGHAM, AL, 352010277, US | 950 22ND ST N STE 800, BIRMINGHAM, AL, 352035307, US | |||||||||||||||
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| Phone | +1 866-333-1665 |
| Fax | 2053802074 |
Authorized person
| Name | ERIC THOMAS |
| Role | SVP OF REVENUE MANAGEMENT |
| Phone | 8772885340 |
Taxonomy
| Taxonomy Code | 3416L0300X - Land Ambulance |
| Is Primary | Yes |
| CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 73AZ4 | Active | Non-Manufacturer | 2014-04-03 | 2024-08-09 | 2029-08-09 | 2025-07-31 | |||||||||||||||||||||
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| POC | DWAYNE TULLOS |
| Phone | +1 601-436-1555 |
| Address | 950 22ND ST N STE 800, BIRMINGHAM, JEFFERSON, AL, 35203 5307, UNITED STATES |
Ownership of Offeror Information
| Highest Level Owner | Information not Available |
|---|
| Immediate Level Owner | Information not Available |
|---|
| List of Offerors (1) | |
|---|---|
| CAGE number | 4MZD3 |
| Owner Type | Immediate |
| Legal Business Name | LIFEGUARD AMBULANCE SERVICE OF FLORIDA, LLC |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY INC. | Agent |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
