| Entity Name: | KI LABS DIAGNOSTICS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 11 Jan 2024 (a year ago) |
| Document Number: | L24000024703 |
| Address: | 3236 FORUM BLVD, #1050, FORT MYERS, FL, 33905 |
| Mail Address: | 3236 FORUM BLVD, #1050, FORT MYERS, FL, 33905 |
| ZIP code: | 33905 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1265278634 | 2024-07-05 | 2024-07-05 | 5598 8TH ST W UNIT 1, OFFICE 7, LEHIGH ACRES, FL, 339716341, US | 5598 8TH ST W UNIT 1, OFFICE 7, LEHIGH ACRES, FL, 339716341, US | |||||||||||||||||
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| Phone | +1 239-910-6318 |
Authorized person
| Name | MOLIKKITA ESSART |
| Role | LAB DIRECTOR |
| Phone | 2399106318 |
Taxonomy
| Taxonomy Code | 247200000X - Other Technician |
| Is Primary | No |
| Taxonomy Code | 291U00000X - Clinical Medical Laboratory |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ESSART MOLIKKITA M | Agent | 3236 FORUM BLVD, FORT MYERS, FL, 33905 |
| Name | Role | Address |
|---|---|---|
| ESSART MOLIKKITA M | Chief Executive Officer | 3236 FORUM BLVD #1050, FORT MYERS, FL, 33905 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-01-11 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
