| Entity Name: | MELBOURNE MEDICAL LABORATORY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 15 Nov 2012 (12 years ago) |
| Document Number: | L12000144997 |
| FEI/EIN Number | 37-1710319 |
| Address: | 1344 Apollo Blvd., Ste 406, Melbourne, FL 32901 |
| Mail Address: | 1344 Apollo Blvd., Ste 406, Melbourne, FL 32901 |
| ZIP code: | 32901 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013353200 | 2013-05-15 | 2013-05-15 | 95 BULLDOG BLVD, SUITE 202, MELBOURNE, FL, 329013332, US | 95 BULLDOG BLVD, SUITE 103, MELBOURNE, FL, 329013332, US | |||||||||||||||||||
|
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| Phone | +1 321-727-2990 |
| Fax | 3217240455 |
| Phone | +1 321-722-1766 |
| Fax | 3217220346 |
Authorized person
| Name | CRAIG DELIGDISH |
| Role | PRESIDENT |
| Phone | 3217272990 |
Taxonomy
| Taxonomy Code | 291U00000X - Clinical Medical Laboratory |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MALLAK, LYNN | Agent | 1344 S. APOLLO BOULEVARD, SUITE 400, MELBOURNE, FL 32901 |
| Name | Role | Address |
|---|---|---|
| DELIGDISH, CRAIG | Managing Member | 1344 S. APOLLO BOULEVARD, SUITE 303, MELBOURNE, FL 32901 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-25 | 1344 Apollo Blvd., Ste 406, Melbourne, FL 32901 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-25 | 1344 Apollo Blvd., Ste 406, Melbourne, FL 32901 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-24 |
| ANNUAL REPORT | 2023-04-25 |
| ANNUAL REPORT | 2022-04-06 |
| ANNUAL REPORT | 2021-03-16 |
| ANNUAL REPORT | 2020-05-18 |
| ANNUAL REPORT | 2019-04-23 |
| ANNUAL REPORT | 2018-04-16 |
| ANNUAL REPORT | 2017-04-26 |
| ANNUAL REPORT | 2016-04-14 |
| ANNUAL REPORT | 2015-04-21 |
Date of last update: 23 Jan 2025
Sources: Florida Department of State
