| Entity Name: | CIRCULOGENE THERANOSTICS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Profit Corporation |
| Status: | Active |
| Date Filed: | 21 Sep 2020 (4 years ago) |
| Document Number: | F20000004098 |
| FEI/EIN Number | 47-3255195 |
| Address: | 3125 INDEPENDENCE DR STE 301, BIRMINGHAM, AL 35209 |
| Mail Address: | 3125 INDEPENDENCE DR STE 301, BIRMINGHAM, AL 35209 |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780308262 | 2022-09-28 | 2023-04-12 | PO BOX 830525, BIRMINGHAM, AL, 352830525, US | 219 E GARDEN ST STE 300, PENSACOLA, FL, 325024806, US | |||||||||||||||||||||
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| Phone | +1 855-614-7083 |
| Fax | 8556147084 |
Authorized person
| Name | MR. MICHAEL V. MULLEN |
| Role | CEO |
| Phone | 8556147083 |
Taxonomy
| Taxonomy Code | 291U00000X - Clinical Medical Laboratory |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 19070 |
| State | AL |
| Name | Role |
|---|---|
| CAPITOL CORPORATE SERVICES, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| MULLEN, MIKE | Chief Executive Officer | 1728 3RD AVE N STE 510, BIRMINGHAM, AL 35203 |
| Name | Role | Address |
|---|---|---|
| MULLEN, MIKE | PRESIDENT | 1728 3RD AVE N STE 510, BIRMINGHAM, AL 35203 |
| Name | Role | Address |
|---|---|---|
| MULLEN, MIKE | DIRECTOR | 1728 3RD AVE N STE 510, BIRMINGHAM, AL 35203 |
| COLEMAN, DANIEL | DIRECTOR | 1728 3RD AVE N STE 510, BIRMINGHAM, AL 35203 |
| ECK, STEPHEN | DIRECTOR | 1728 3RD AVE N STE 510, BIRMINGHAM, AL 35203 |
| CANTRELL, JAMES | DIRECTOR | 1728 3RD AVE N STE 510, BIRMINGHAM, AL 35203 |
| GARVIE, ROBERT | DIRECTOR | 1728 3RD AVE N STE 510, BIRMINGHAM, AL 35203 |
| DUNN, BRAD | DIRECTOR | 1728 3RD AVE N STE 510, BIRMINGHAM, AL 35203 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-29 | 3125 INDEPENDENCE DR STE 301, BIRMINGHAM, AL 35209 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-29 | 3125 INDEPENDENCE DR STE 301, BIRMINGHAM, AL 35209 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-26 |
| ANNUAL REPORT | 2023-04-29 |
| ANNUAL REPORT | 2022-04-26 |
| ANNUAL REPORT | 2021-04-30 |
| Foreign Profit | 2020-09-21 |
Date of last update: 15 Jan 2025
Sources: Florida Department of State
