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JACE LABORATORIES AND SCREENING LLC

Company Details

Entity Name: JACE LABORATORIES AND SCREENING LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 30 Sep 2020 (4 years ago)
Document Number: L20000309167
FEI/EIN Number 85-3225779
Mail Address: 11243 OYSTER CREEK ROAD, Jacksonville, FL 32218
Address: 9951 ATLANTIC BLVD STE 322, JACKSONVILLE 32225 UN
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1225703648 2021-08-09 2021-08-09 9951 ATLANTIC BLVD STE 434, JACKSONVILLE, FL, 322256553, US 9951 ATLANTIC BLVD STE 434, JACKSONVILLE, FL, 322256553, US

Contacts

Phone +1 833-434-5223
Fax 8886866271

Authorized person

Name IMA LATOYA WALLACE
Role EXECUTIVE DIRECTOR
Phone 8334345223

Taxonomy

Taxonomy Code 291U00000X - Clinical Medical Laboratory
Is Primary Yes

Agent

Name Role Address
WALLACE, IMA L Agent 11243 OYSTER CREEK ROAD, Jacksonville, FL 32218

Chief Executive Officer

Name Role Address
WALLACE, IMA LATOYA Chief Executive Officer 11243 OYSTER CREEK ROAD, Jacksonville, FL 32218

Manager

Name Role Address
Wallace, Ima LATOYA Manager 11243 OYSTER CREEK ROAD, Jacksonville, FL 32218

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000055149 JL CONSULTING GROUP ACTIVE 2022-05-01 2027-12-31 No data 9951 ATLANTIC BLVD STE 300, JACKSONVILLE, FL, 32225
G22000009291 BRUNCH SUNDAYS IN THE CITY ACTIVE 2022-01-14 2027-12-31 No data 1168 W 9TH ST, JACKSONVILLE, FL, 32209

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2024-03-30 9951 ATLANTIC BLVD STE 322, JACKSONVILLE 32225 UN No data
REGISTERED AGENT ADDRESS CHANGED 2024-03-30 11243 OYSTER CREEK ROAD, Jacksonville, FL 32218 No data
CHANGE OF PRINCIPAL ADDRESS 2023-04-28 9951 ATLANTIC BLVD STE 322, JACKSONVILLE 32225 UN No data

Documents

Name Date
ANNUAL REPORT 2024-03-30
ANNUAL REPORT 2023-04-28
ANNUAL REPORT 2022-03-24
ANNUAL REPORT 2021-04-28
Florida Limited Liability 2020-09-30

Date of last update: 15 Jan 2025

Sources: Florida Department of State