| Entity Name: | RELIANCE PATHOLOGY PARTNERS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 28 Aug 2003 (21 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 17 Sep 2003 (21 years ago) |
| Document Number: | L03000032486 |
| FEI/EIN Number | 861079082 |
| Address: | 5747 HOOVER BOULEVARD, TAMPA, FL, 33634, US |
| Mail Address: | 5747 HOOVER BOULEVARD, TAMPA, FL, 33634, US |
| ZIP code: | 33634 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1548274897 | 2006-07-29 | 2024-01-15 | 5747 HOOVER BLVD, TAMPA, FL, 336345340, US | 5747 HOOVER BLVD, TAMPA, FL, 336345340, US | |||||||||||||||||||||||||
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| Phone | +1 813-886-8334 |
| Fax | 8138900143 |
Authorized person
| Name | KIM PALMA |
| Role | ACCOUNT MANAGER |
| Phone | 8138868334 |
Taxonomy
| Taxonomy Code | 291U00000X - Clinical Medical Laboratory |
| License Number | 800018934 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 030761100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| COJITA DANIELA | Agent | 5747 HOOVER BOULEVARD, TAMPA, FL, 33634 |
| Name | Role | Address |
|---|---|---|
| FINAN JON M.D. | President | 5747 HOOVER BOULEVARD, TAMPA, FL, 33634 |
| Name | Role | Address |
|---|---|---|
| KALIK ALEJANDRA M | Vice President | 5747 HOOVER BOULEVARD, TAMPA, FL, 33634 |
| Name | Role | Address |
|---|---|---|
| XIE DONG-LIN M.D. | Treasurer | 5747 HOOVER BOULEVARD, TAMPA, FL, 33634 |
| Name | Role | Address |
|---|---|---|
| VITKO JULIE M.D. | Secretary | 5747 HOOVER BOULEVARD, TAMPA, FL, 33634 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2013-07-18 | COJITA, DANIELA | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-04-21 | 5747 HOOVER BOULEVARD, TAMPA, FL 33634 | No data |
| CHANGE OF MAILING ADDRESS | 2011-04-21 | 5747 HOOVER BOULEVARD, TAMPA, FL 33634 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-04-21 | 5747 HOOVER BOULEVARD, TAMPA, FL 33634 | No data |
| NAME CHANGE AMENDMENT | 2003-09-17 | RELIANCE PATHOLOGY PARTNERS, LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-11 |
| ANNUAL REPORT | 2023-04-24 |
| ANNUAL REPORT | 2022-04-20 |
| ANNUAL REPORT | 2021-04-21 |
| ANNUAL REPORT | 2020-04-24 |
| ANNUAL REPORT | 2019-04-18 |
| ANNUAL REPORT | 2018-04-19 |
| ANNUAL REPORT | 2017-04-25 |
| ANNUAL REPORT | 2016-04-14 |
| ANNUAL REPORT | 2015-04-20 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 3367177108 | 2020-04-11 | 0455 | PPP | 5747 Hoover Blvd, TAMPA, FL, 33634-5340 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Feb 2025
Sources: Florida Department of State
