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CLG DIAGNOSTICS, LLC

Company Details

Entity Name: CLG DIAGNOSTICS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 03 Jan 2018 (7 years ago)
Date of dissolution: 07 Jun 2019 (6 years ago)
Last Event: LC STMNT OF TERM
Event Date Filed: 07 Jun 2019 (6 years ago)
Document Number: L18000002964
FEI/EIN Number 823903005
Address: 11350 SW VILLAGE PKWY, PORT ST LUCIE, FL, 34987-2352, US
Mail Address: P.O. BOX 1254, SALEM, NH, 03079, US
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1588163505 2018-02-05 2018-03-17 PO BOX 1254, SALEM, NH, 030791138, US 11350 SW VILLAGE PKWY STE 307, PORT SAINT LUCIE, FL, 349872352, US

Contacts

Phone +1 603-328-8633

Authorized person

Name MRS. LISA PERRY
Role DIRECTOR OF COMPLIANCE
Phone 6033288633

Taxonomy

Taxonomy Code 291U00000X - Clinical Medical Laboratory
Is Primary Yes

Agent

Name Role Address
SPOFFORD ERIC Agent 11350 SW VILLAGE PARKWAY, PORT SAINT LUCIE, FL, 34987

Manager

Name Role Address
SPOFFORD ERIC Manager 11350 SW VILLAGE PARKWAY, SUITE 307, PORT SAINT LUCIE, FL, 34987

Events

Event Type Filed Date Value Description
LC STMNT OF TERM 2019-06-07 No data No data
LC VOLUNTARY DISSOLUTION 2019-02-12 No data No data
LC AMENDMENT 2018-03-09 No data No data
CHANGE OF PRINCIPAL ADDRESS 2018-03-09 11350 SW VILLAGE PKWY, STE 307, PORT ST LUCIE, FL 34987-2352 No data
LC AMENDMENT 2018-02-26 No data No data

Documents

Name Date
CORLCSTERM 2019-06-07
LC Voluntary Dissolution 2019-02-12
LC Amendment 2018-03-09
LC Amendment 2018-02-26
Florida Limited Liability 2018-01-03

Date of last update: 02 Feb 2025

Sources: Florida Department of State