| Entity Name: | APPLIED INGENUITY DIAGNOSTICS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 30 May 2018 (7 years ago) |
| Document Number: | L18000134863 |
| FEI/EIN Number | 83-0763915 |
| Address: | 7040 LAKE ELLENOR DR, ORLANDO, FL, 328095750, US |
| Mail Address: | 2531 NW 41ST ST A, GAINESVILLE, FL, 326067490, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174090724 | 2018-10-31 | 2022-08-09 | 2531 NW 41ST ST BLDG A, GAINESVILLE, FL, 326067490, US | 7040 LAKE ELLENOR DR, ORLANDO, FL, 328095750, US | |||||||||||||||||||||||
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| Phone | +1 877-277-5439 |
| Fax | 8772775439 |
| Fax | 8775775439 |
Authorized person
| Name | RAVI BHOSALE |
| Role | COO |
| Phone | 8772775439 |
Taxonomy
| Taxonomy Code | 291U00000X - Clinical Medical Laboratory |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 102755900 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| APPLIED INGENUITY DIAGNOSTICS 401(K) PLAN | 2023 | 830763915 | 2024-10-12 | APPLIED INGENUITY DIAGNOSTICS, LLC | 20 | |||||||||||||
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| APPLIED INGENUITY DIAGNOSTICS 401(K) PLAN | 2022 | 830763915 | 2023-06-15 | APPLIED INGENUITY DIAGNOSTICS, LLC | 25 | |||||||||||||
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| Name | Role | Address |
|---|---|---|
| BHOSALE RAVI | Agent | 2531 NW 41ST ST A, GAINESVILLE, FL, 32606 |
| Name | Role | Address |
|---|---|---|
| BHOSALE RAVI | Manager | 2531 NW 41ST ST A, GAINESVILLE, FL, 32606490 |
| SHAH MAULIK | Manager | 2531 NW 41ST ST A, GAINESVILLE, FL, 32606490 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2022-01-10 | 2531 NW 41ST ST A, GAINESVILLE, FL 32606 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-11-19 | 7040 LAKE ELLENOR DR, ORLANDO, FL 328095750 | No data |
| CHANGE OF MAILING ADDRESS | 2021-11-19 | 7040 LAKE ELLENOR DR, ORLANDO, FL 328095750 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-23 |
| ANNUAL REPORT | 2023-02-15 |
| ANNUAL REPORT | 2022-01-10 |
| ANNUAL REPORT | 2021-01-10 |
| ANNUAL REPORT | 2020-04-30 |
| ANNUAL REPORT | 2019-04-22 |
| Florida Limited Liability | 2018-05-30 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
