| Entity Name: | ALLIANCE LABS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 24 Feb 2009 (16 years ago) |
| Last Event: | LC AMENDED AND RESTATED ARTICLES |
| Event Date Filed: | 14 Aug 2009 (15 years ago) |
| Document Number: | L09000018236 |
| FEI/EIN Number | 26-4322547 |
| Address: | 732 N. 3RD ST., LEESBURG, FL 34748 |
| Mail Address: | 732 N. 3RD ST., LEESBURG, FL 34748 |
| ZIP code: | 34748 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1598993289 | 2009-07-01 | 2021-02-24 | 732 N 3RD ST, LEESBURG, FL, 347484442, US | 732 N 3RD ST, LEESBURG, FL, 347484442, US | |||||||||||||||||||||
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| Phone | +1 352-787-1778 |
| Fax | 3527871164 |
Authorized person
| Name | MRS. DIANE HARDEN |
| Role | CHIEF FINANCIAL OFFICER |
| Phone | 3523235002 |
Taxonomy
| Taxonomy Code | 291U00000X - Clinical Medical Laboratory |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 001139000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BRAUN, PHILIP J | Agent | 715 WEST OAK TERRACE DR, LEESBURG, FL 34748 |
| Name | Role |
|---|---|
| LEESBURG REGIONAL MEDICAL CENTER, INC. | Managing Member |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000005527 | UF HEALTH ALLIANCE LABORATORY | ACTIVE | 2020-01-13 | 2025-12-31 | No data | 410 CHILDS ST, LEESBURG, FL, 34748 |
| G10000054489 | THE VILLAGES HEALTH SYSTEM LAB | EXPIRED | 2010-06-15 | 2015-12-31 | No data | 1451 EL CAMINO REAL, THE VILLAGES, FL, 32159 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-03-10 | 732 N. 3RD ST., LEESBURG, FL 34748 | No data |
| CHANGE OF MAILING ADDRESS | 2021-03-10 | 732 N. 3RD ST., LEESBURG, FL 34748 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-03-31 | 715 WEST OAK TERRACE DR, LEESBURG, FL 34748 | No data |
| REGISTERED AGENT NAME CHANGED | 2010-12-01 | BRAUN, PHILIP J | No data |
| LC AMENDED AND RESTATED ARTICLES | 2009-08-14 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-01 |
| ANNUAL REPORT | 2023-01-31 |
| ANNUAL REPORT | 2022-02-21 |
| ANNUAL REPORT | 2021-03-10 |
| ANNUAL REPORT | 2020-03-03 |
| ANNUAL REPORT | 2019-02-08 |
| ANNUAL REPORT | 2018-04-17 |
| ANNUAL REPORT | 2017-01-19 |
| ANNUAL REPORT | 2016-03-09 |
| ANNUAL REPORT | 2015-04-01 |
Date of last update: 26 Jan 2025
Sources: Florida Department of State
