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MEDICAL TOX LABS, LLC

Company Details

Entity Name: MEDICAL TOX LABS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 22 Apr 2014 (11 years ago)
Document Number: L14000065854
FEI/EIN Number 465546416
Address: 501 N. Reo Street, TAMPA, FL, 33609, US
Mail Address: 501 N. Reo Street, TAMPA, FL, 33609, US
ZIP code: 33609
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1285004283 2015-10-02 2015-10-02 4730 N HABANA AVE, SUITE 204, TAMPA, FL, 336147163, US 3450 E FLETCHER AVE, SUITE 230, TAMPA, FL, 336134655, US

Contacts

Phone +1 813-549-2134
Fax 8138701383
Phone +1 813-769-8810

Authorized person

Name RODOLFO GARI
Role AUTHORIZED OFFICIAL
Phone 8135492134

Taxonomy

Taxonomy Code 291U00000X - Clinical Medical Laboratory
License Number 800027605
State FL
Is Primary Yes

Agent

Name Role Address
Wood David Agent 504 N. REO ST., TAMPA, FL, 33609

Chief Executive Officer

Name Role Address
Helms Josh Chief Executive Officer 504 N. REO ST., TAMPA, FL, 33609

Chief Administrative Officer

Name Role Address
Gari Tracie Chief Administrative Officer 504 N. REO ST., TAMPA, FL, 33609

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G15000101138 WELLMED LABS ACTIVE 2015-10-02 2025-12-31 No data 504 N REO STREET, TAMPA, FL, 33609

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-05-24 501 N. Reo Street, TAMPA, FL 33609 No data
CHANGE OF MAILING ADDRESS 2023-05-24 501 N. Reo Street, TAMPA, FL 33609 No data
REGISTERED AGENT NAME CHANGED 2023-03-14 Wood, David No data
REGISTERED AGENT ADDRESS CHANGED 2020-06-26 504 N. REO ST., TAMPA, FL 33609 No data

Documents

Name Date
ANNUAL REPORT 2024-04-30
ANNUAL REPORT 2023-03-14
ANNUAL REPORT 2022-03-30
ANNUAL REPORT 2021-03-12
ANNUAL REPORT 2020-06-26
ANNUAL REPORT 2019-04-07
ANNUAL REPORT 2018-04-22
ANNUAL REPORT 2017-02-20
ANNUAL REPORT 2016-04-08
ANNUAL REPORT 2015-04-09

Date of last update: 01 Feb 2025

Sources: Florida Department of State