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PRIMEMEDX LLC

Company Details

Entity Name: PRIMEMEDX LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 22 Nov 2022 (2 years ago)
Last Event: LC NAME CHANGE
Event Date Filed: 19 May 2023 (2 years ago)
Document Number: L22000497786
FEI/EIN Number 92-1359689
Address: 10638 VERSAILLES BLVD, WELLINGTON, FL, 33449, US
Mail Address: 10638 VERSAILLES BLVD, WELLINGTON, FL, 33449, US
ZIP code: 33449
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1093583932 2023-12-19 2023-12-19 10638 VERSAILLES BLVD, WELLINGTON, FL, 334498085, US 10638 VERSAILLES BLVD, WELLINGTON, FL, 334498085, US

Contacts

Phone +1 561-420-2881

Authorized person

Name ELEANOR OSTBERG
Role PRACTICE ADMINISTRATOR
Phone 5614202881

Taxonomy

Taxonomy Code 246ZE0600X - Electroneurodiagnostic Specialist/Technologist
Is Primary Yes

Agent

Name Role Address
Mohammed Sanjeev Agent 10638 VERSAILLES BLVD, WELLINGTON, FL, 33449

Authorized Member

Name Role Address
MOHAMMED SANJEEV Authorized Member 10638 VERSAILLES BLVD, WELLINGTON, FL, 33449

Events

Event Type Filed Date Value Description
LC NAME CHANGE 2023-05-19 PRIMEMEDX LLC No data
REGISTERED AGENT NAME CHANGED 2023-04-24 Mohammed, Sanjeev No data
REGISTERED AGENT ADDRESS CHANGED 2023-04-24 10638 VERSAILLES BLVD, WELLINGTON, FL 33449 No data

Documents

Name Date
ANNUAL REPORT 2024-02-23
LC Name Change 2023-05-19
ANNUAL REPORT 2023-04-24
Florida Limited Liability 2022-11-22

Date of last update: 02 Feb 2025

Sources: Florida Department of State