| Entity Name: | RIVER TOWN DIAGNOSTICS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 26 Jul 2019 (6 years ago) |
| Document Number: | L19000192366 |
| FEI/EIN Number | 84-2515383 |
| Address: | 8563 argyle business loop, JACKSONVILLE, FL, 32244, US |
| Mail Address: | 8563 argyle business loop, JACKSONVILLE, FL, 32244, US |
| ZIP code: | 32244 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1770137754 | 2019-07-29 | 2023-11-02 | 8563 ARGYLE BUSINESS LOOP STE 2, JACKSONVILLE, FL, 322446613, US | 8563 ARGYLE BUSINESS LOOP STE 2, JACKSONVILLE, FL, 322446613, US | |||||||||||||||||||||||||
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| Phone | +1 904-619-9299 |
Authorized person
| Name | DAWSON SMITH |
| Role | OWNER |
| Phone | 9045866973 |
Taxonomy
| Taxonomy Code | 291U00000X - Clinical Medical Laboratory |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | COLA ACCREDITATION |
| Number | 29790 |
| State | FL |
| Issuer | CLIA |
| Number | 10D2173247 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Michael Roizin | Agent | 8563 argyle business loop, JACKSONVILLE, FL, 32244 |
| Name | Role | Address |
|---|---|---|
| Michael Roizin | Owne | 7032 Avenue M, Brooklyn, NY, 11235 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-12-20 | Michael, Roizin | No data |
| REGISTERED AGENT NAME CHANGED | 2023-07-12 | Smith, Dawson | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-05-01 | 8563 argyle business loop, ste 2, JACKSONVILLE, FL 32244 | No data |
| CHANGE OF MAILING ADDRESS | 2023-05-01 | 8563 argyle business loop, ste 2, JACKSONVILLE, FL 32244 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-05-01 | 8563 argyle business loop, ste 2, JACKSONVILLE, FL 32244 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-12-20 |
| ANNUAL REPORT | 2024-01-21 |
| AMENDED ANNUAL REPORT | 2023-07-12 |
| ANNUAL REPORT | 2023-05-01 |
| ANNUAL REPORT | 2022-03-29 |
| AMENDED ANNUAL REPORT | 2021-08-02 |
| ANNUAL REPORT | 2021-05-04 |
| ANNUAL REPORT | 2020-01-15 |
| Florida Limited Liability | 2019-07-26 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
