| Entity Name: | MOBILE PHLEBOTOMY EXCELLENCE,LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 21 Apr 2022 (3 years ago) |
| Document Number: | L22000190696 |
| FEI/EIN Number | 88-2232262 |
| Mail Address: | P.O BOX 7090, AVON PARK, FL, 33826, US |
| Address: | 5825 US 27 NORTH, SEBRING, FL, 33870, US |
| ZIP code: | 33870 |
| County: | Highlands |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1356120836 | 2023-09-25 | 2023-09-25 | PO BOX 7090, AVON PARK, FL, 338267090, US | 109 E VIOLA ST, AVON PARK, FL, 338252249, US | |||||||||||||||
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| Phone | +1 888-919-2509 |
| Fax | 8639009720 |
Authorized person
| Name | MS. TIFFANY LASHAE BROWN |
| Role | ASCP-PBT |
| Phone | 8632754405 |
Taxonomy
| Taxonomy Code | 291U00000X - Clinical Medical Laboratory |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BROWN TIFFANY LMS | Agent | 109 EAST VIOLA STREET, AVON PARK, FL, 33825 |
| Name | Role | Address |
|---|---|---|
| BROWN TIFFANY LMS | Chief Executive Officer | 5825 US 27 N, SEBRING, FL, 33870 |
| Name | Role | Address |
|---|---|---|
| BROWN TIFFANY LMS | Authorized Representative | 5825 US 27 NORTH, SEBRING, FL, 33870 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-08-30 | 5825 US 27 NORTH, SEBRING, FL 33870 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-08-30 | 109 EAST VIOLA STREET, AVON PARK, FL 33825 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-08-30 |
| ANNUAL REPORT | 2023-04-28 |
| Florida Limited Liability | 2022-04-21 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
