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CLEARWATER NEURODIAGNOSTICS LLC

Company Details

Entity Name: CLEARWATER NEURODIAGNOSTICS LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 29 Oct 2019 (5 years ago)
Date of dissolution: 24 Sep 2021 (3 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 24 Sep 2021 (3 years ago)
Document Number: L19000270891
FEI/EIN Number 843740568
Address: 690 MAIN STREET, #822, SAFETY HARBOR, FL, 34695, US
Mail Address: 690 MAIN STREET, #822, DUNEDIN, FL, 34695, US
ZIP code: 34695
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1316585466 2019-12-19 2020-01-16 690 MAIN ST UNIT 822, SAFETY HARBOR, FL, 346953551, US 407 S AURORA AVE, CLEARWATER, FL, 337653525, US

Contacts

Phone +1 850-322-6794

Authorized person

Name ANDREW KLEIN
Role PRINCIPAL
Phone 8503226794

Taxonomy

Taxonomy Code 246ZE0600X - Electroneurodiagnostic Specialist/Technologist
Is Primary No
Taxonomy Code 293D00000X - Physiological Laboratory
Is Primary Yes

Agent

Name Role Address
KLEIN ANDREW L Agent 617 HOLLY CT, DUNEDIN, FL, 34698

Manager

Name Role Address
KLEIN ANDREW L Manager 617 HOLLY CT, DUNEDIN, FL, 34698

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2021-09-24 No data No data

Documents

Name Date
ANNUAL REPORT 2020-06-07
Florida Limited Liability 2019-10-29

Date of last update: 01 Feb 2025

Sources: Florida Department of State