BEUDAMED
    FDA Registration Active 🇺🇸 United States

    ALLY Bone Screw

    Reg #: 3009394448 · FEI: 3009394448 · Expires 2025
    View on FDA
    Products
    1
    Proprietary Names
    2
    Establishment Types
    4
    Classifications
    1

    Registration Details

    Registration Name
    PROVIDENCE MEDICAL TECHNOLOGY, INC.
    Registration Number
    3009394448
    FEI Number
    3009394448
    Status
    Active
    Expiry Year
    2025
    Initial Importer
    No
    Address
    4234 Hacienda Dr. Suite 150
    City
    Pleasanton
    State
    CA
    ZIP
    94588
    Country
    US

    Regulatory Submissions

    510(k) Number
    K121713

    Owner / Operator

    Firm Name
    Providence Medical Technology, Inc.
    Operator Number
    10038884
    Address
    4234 Hacienda Dr. Suite 150
    City
    Pleasanton
    State
    CA
    Postal Code
    94588
    Country
    US
    Correspondent
    Edward Liou

    Products

    Device Name Product Code
    Screw, Fixation, Bone HWC

    Proprietary Names

    ALLY Bone Screw ALLY Bone Screw-L

    Establishment Types

    Complaint File Establishment per 21 CFR 820.198 Repack or Relabel Medical Device Develop Specifications But Do Not Manufacture At This Facility Manufacture Medical Device