| Entity Name: | QUANTUM HOSPITAL PATHOLOGY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 06 Jul 2012 (13 years ago) |
| Document Number: | L12000088412 |
| FEI/EIN Number | 46-0563060 |
| Address: | 151 EAST REDSTONE AVE., CRESTVIEW, FL, 32539 |
| Mail Address: | 151 EAST REDSTONE AVE., CRESTVIEW, FL, 32539 |
| ZIP code: | 32539 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1679829816 | 2012-07-25 | 2023-09-27 | PO BOX 3093, BOCA RATON, FL, 334310993, US | 151 E REDSTONE AVE, CRESTVIEW, FL, 325395352, US | |||||||||||||||||||
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| Phone | +1 954-656-6430 |
| Fax | 8506898338 |
| Phone | +1 850-689-8100 |
| Fax | 4198665453 |
Authorized person
| Name | NORTH DAVIS |
| Role | PRESIDENT |
| Phone | 8506898100 |
Taxonomy
| Taxonomy Code | 207ZP0102X - Anatomic Pathology & Clinical Pathology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DAVIS NORTH J | Agent | 4724 NORTH DAVIS HWY., PENSACOLA, FL, 32503 |
| Name | Role | Address |
|---|---|---|
| DAVIS NORTH J | Manager | 151 EAST REDSTONE AVE., CRESTVIEW, FL, 32539 |
| CANDELA ANDRES M | Manager | 151 EAST REDSTONE AVE., CRESTVIEW, FL, 32539 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-10 |
| ANNUAL REPORT | 2024-02-23 |
| ANNUAL REPORT | 2023-03-09 |
| ANNUAL REPORT | 2022-03-22 |
| ANNUAL REPORT | 2021-02-23 |
| ANNUAL REPORT | 2020-03-20 |
| ANNUAL REPORT | 2019-04-03 |
| ANNUAL REPORT | 2018-02-28 |
| ANNUAL REPORT | 2017-03-22 |
| ANNUAL REPORT | 2016-03-07 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
