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  5. MID-FLORIDA PATHOLOGY LLC

MID-FLORIDA PATHOLOGY LLC

Company Details

Entity Name: MID-FLORIDA PATHOLOGY LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 08 Mar 2012 (13 years ago)
Document Number: L12000033486
FEI/EIN Number 45-4758296
Address: 2100 PREVATT STREET, EUSTIS, FL, 32726, US
Mail Address: PO BOX 490940, LEESBURG, FL, 34749, US
ZIP code: 32726
County: Lake
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1679949333 2015-08-18 2022-08-15 120 E NORTH BLVD STE 102, LEESBURG, FL, 347485241, US 120 E NORTH BLVD STE 102, LEESBURG, FL, 347485241, US

Contacts
Phone +1 352-460-0292

Authorized person
Name GILMAR TADIOTO
Role CFO
Phone 3524600292

Taxonomy
Taxonomy Code 291U00000X - Clinical Medical Laboratory
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 006243500
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MID-FLORIDA PATHOLOGY, LLC 401(K) PLAN 2022 454758296 2024-02-01 MID-FLORIDA PATHOLOGY, LLC 68
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621510
Sponsor’s telephone number 3526300055
Plan sponsor’s address 1060 CEASARS COURT, MOUNT DORA, FL, 32757
MID-FLORIDA PATHOLOGY, LLC 401(K) PLAN 2021 454758296 2022-10-07 MID-FLORIDA PATHOLOGY, LLC 73
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621510
Sponsor’s telephone number 3526300055
Plan sponsor’s address 1060 CEASARS COURT, MOUNT DORA, FL, 32757
MID-FLORIDA PATHOLOGY, LLC 401(K) PLAN 2020 454758296 2021-06-18 MID-FLORIDA PATHOLOGY, LLC 53
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621510
Sponsor’s telephone number 3526300055
Plan sponsor’s address 1060 CEASARS COURT, MOUNT DORA, FL, 32757
MID-FLORIDA PATHOLOGY, LLC 401(K) PLAN 2019 454758296 2020-08-06 MID-FLORIDA PATHOLOGY, LLC 45
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621510
Sponsor’s telephone number 3526300055
Plan sponsor’s address 1060 CEASARS COURT, MOUNT DORA, FL, 32757
MID-FLORIDA PATHOLOGY, LLC 401(K) PLAN 2018 454758296 2019-06-03 MID-FLORIDA PATHOLOGY, LLC 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621510
Sponsor’s telephone number 3526300055
Plan sponsor’s address 1060 CEASARS COURT, MOUNT DORA, FL, 32757
MID-FLORIDA PATHOLOGY, LLC 401(K) PLAN 2017 454758296 2018-07-13 MID-FLORIDA PATHOLOGY, LLC 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621510
Sponsor’s telephone number 3526300055
Plan sponsor’s address 1060 CEASARS COURT, MOUNT DORA, FL, 32757

Agent

Name Role Address
ONUSHKO OLEKSANDR Ph.D Agent 120 EAST NORTH BLVD, LEESBURG, FL, 34748

Manager

Name Role Address
ALLEN JAMES KMD Manager 9404 LIBBY NUMBER 3 RD, CLERMONT, FL, 34715
ONUSHKO OLEKSANDR Ph.D. Manager 120 EAST NORTH BLVD, LEESBURG, FL, 34748

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2016-10-25 2100 PREVATT STREET, EUSTIS, FL 32726 No data
REGISTERED AGENT NAME CHANGED 2013-11-13 ONUSHKO, OLEKSANDR, Ph.D No data

Documents

Name Date
ANNUAL REPORT 2024-04-11
ANNUAL REPORT 2023-04-17
ANNUAL REPORT 2022-03-25
ANNUAL REPORT 2021-02-02
ANNUAL REPORT 2020-02-05
ANNUAL REPORT 2019-01-29
ANNUAL REPORT 2018-03-06
ANNUAL REPORT 2017-03-15
ANNUAL REPORT 2016-01-19
ANNUAL REPORT 2015-01-08

Related by officers

ALLEN JAMES KMD

MID-FLORIDA PROPERTIES HOLDINGS, LLC

ONUSHKO OLEKSANDR Ph.D.

STRATEGIC BUSINESS OUTSOURCING, LLC

Related by address

PO BOX 490940, LEESBURG, FL, 34749, US

STRATEGIC BUSINESS OUTSOURCING, LLC

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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