| Entity Name: | LAKE CARDIOVASCULAR DIAGNOSTIC CENTER L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 03 Jan 2013 (12 years ago) |
| Document Number: | L13000000874 |
| FEI/EIN Number | 461658135 |
| Address: | 510 HIGHWAY 466, SUITE 105, LADY LAKE, FL, 32159, US |
| Mail Address: | 510 HIGHWAY 466, SUITE 105, LADY LAKE, FL, 32159, US |
| ZIP code: | 32159 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1801135173 | 2013-02-06 | 2013-02-13 | 1050 OLD CAMP RD, STE 270, THE VILLAGES, FL, 321621762, US | 510 HIGHWAY 466, SUITE 105, LADY LAKE, FL, 321596341, US | |||||||||||||
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| Phone | +1 352-633-1966 |
Authorized person
| Name | DR. SHRIKANTH UPADYA |
| Role | DIRECTOR |
| Phone | 3526331966 |
Taxonomy
| Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| UPADYA SHRIKANTH | Agent | 510 HIGHWAY 466, LADY LAKE, FL, 32159 |
| Name | Role | Address |
|---|---|---|
| UPADYA SHRIKANTH | Managing Member | 510 HIGHWAY 466, SUITE 105, LADY LAKE, FL, 32159 |
| Name | Role | Address |
|---|---|---|
| YELAMANCHI VISHNU | Member | 3012 PALERMO COURT, MOUNT DORA, FL, 32757 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-21 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-04-25 |
| ANNUAL REPORT | 2021-04-06 |
| ANNUAL REPORT | 2020-05-11 |
| ANNUAL REPORT | 2019-02-23 |
| ANNUAL REPORT | 2018-04-27 |
| ANNUAL REPORT | 2017-04-24 |
| ANNUAL REPORT | 2016-03-29 |
| ANNUAL REPORT | 2015-03-18 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
