| Entity Name: | MEDLAB ASSOCIATES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 08 Sep 2014 (10 years ago) |
| Document Number: | L14000140059 |
| FEI/EIN Number | 47-1777664 |
| Address: | 821 Avalon St SE, Palm Bay, FL 32909 |
| Mail Address: | 821 Avalon St SE, Palm Bay, FL 32909 |
| ZIP code: | 32909 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508481904 | 2020-06-11 | 2020-06-11 | 149 ESTERBROOK AVE NE, PALM BAY, FL, 329073240, US | 6120 HANGING MOSS RD, ORLANDO, FL, 328073701, US | |||||||||||||
|
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| Phone | +1 321-536-0254 |
Authorized person
| Name | RAJENDRA N MELARAM |
| Role | COO |
| Phone | 3215360254 |
Taxonomy
| Taxonomy Code | 207ZP0105X - Clinical Pathology/Laboratory Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MELARAM, RAJ N | Agent | 821 Avalon St SE, Palm Bay, FL 32909 |
| Name | Role | Address |
|---|---|---|
| Melaram, Raj N | Manager | 821 Avalon St SE, Palm Bay, FL 32909 |
| Melaram, Sunita J | Manager | 821 Avalon St SE, Palm Bay, FL 32909 |
| Name | Role | Address |
|---|---|---|
| Burks, Bruce T, Dr. | Director | 821 Avalon St SE, Palm Bay, FL 32909 |
| Melaram, Rajesh T, Phd | Director | 821 Avaalon St SE, Palm Bay, FL 32909 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-03-03 | 821 Avalon St SE, Palm Bay, FL 32909 | No data |
| CHANGE OF MAILING ADDRESS | 2022-03-03 | 821 Avalon St SE, Palm Bay, FL 32909 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-03-03 | 821 Avalon St SE, Palm Bay, FL 32909 | No data |
| REGISTERED AGENT NAME CHANGED | 2016-01-28 | MELARAM, RAJ N | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-18 |
| ANNUAL REPORT | 2023-03-28 |
| ANNUAL REPORT | 2022-03-03 |
| ANNUAL REPORT | 2021-04-07 |
| ANNUAL REPORT | 2020-03-26 |
| ANNUAL REPORT | 2019-04-15 |
| ANNUAL REPORT | 2018-03-14 |
| ANNUAL REPORT | 2017-01-17 |
| ANNUAL REPORT | 2016-01-28 |
| ANNUAL REPORT | 2015-01-19 |
Date of last update: 20 Feb 2025
Sources: Florida Department of State
