| Entity Name: | MILLENIUM LABORATORIES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 18 Jul 2005 (20 years ago) |
| Date of dissolution: | 24 Sep 2010 (14 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2010 (14 years ago) |
| Document Number: | L05000070361 |
| FEI/EIN Number | 203184955 |
| Address: | 3602 SPECTRUM BLVD., TAMPA, FL, 33612 |
| Mail Address: | 3602 SPECTRUM BLVD., TAMPA, FL, 33612 |
| ZIP code: | 33612 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1619073442 | 2006-09-16 | 2008-07-31 | PO BOX 281117, ATLANTA, GA, 303841117, US | 3602 SPECTRUM BLVD, TAMPA, FL, 336129401, US | |||||||||||||||||||||||||
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| Phone | +1 813-396-9975 |
| Fax | 8133969977 |
Authorized person
| Name | JOHN F. EGAN |
| Role | MGRM |
| Phone | 8709263063 |
Taxonomy
| Taxonomy Code | 291U00000X - Clinical Medical Laboratory |
| License Number | 800020748 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS PROVIDER NUMBER |
| Number | L9296 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| EGAN JOHN F | Agent | 3602 SPECTRUM BLVD., TAMPA, FL, 33612 |
| Name | Role | Address |
|---|---|---|
| EGAN JOHN F | Managing Member | 3602 SPECTRUM BLVD., TAMPA, FL, 33612 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2007-08-27 | 3602 SPECTRUM BLVD., TAMPA, FL 33612 | No data |
| CHANGE OF MAILING ADDRESS | 2007-08-27 | 3602 SPECTRUM BLVD., TAMPA, FL 33612 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2007-08-27 | 3602 SPECTRUM BLVD., TAMPA, FL 33612 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2009-04-29 |
| ANNUAL REPORT | 2008-05-05 |
| ANNUAL REPORT | 2007-08-27 |
| ANNUAL REPORT | 2006-01-07 |
| Florida Limited Liability | 2005-07-18 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
