| Entity Name: | ESOTERIX GENETIC LABORATORIES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: | Active |
| Date Filed: | 02 Nov 2010 (14 years ago) |
| Document Number: | M10000004830 |
| FEI/EIN Number | 273267315 |
| Address: | 531 South Spring Street, BURLINGTON, NC, 27215, US |
| Mail Address: | 405 Maple Ave, Unit # 411, BURLINGTON, NC, 27215, US |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1043511496 | 2010-11-16 | 2013-05-15 | PO BOX 2240, BURLINGTON, NC, 272162240, US | 12906 TAMPA OAKS BLVD, STE 300, TEMPLE TERRACE, FL, 336371153, US | |||||||||||||||||||||
|
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| Phone | +1 800-222-7566 |
| Fax | 3364361048 |
| Phone | +1 813-979-9442 |
Authorized person
| Name | MR. WILLIAM B HAYES |
| Role | CFO EVP TREASURER |
| Phone | 8002227566 |
Taxonomy
| Taxonomy Code | 291U00000X - Clinical Medical Laboratory |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | CLIA |
| Number | 10D0710783 |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| Eisenberg Glenn A | Manager | 531 South Spring Street, BURLINGTON, NC, 27215 |
| van der Vaart Sandra D | Manager | 531 South Spring Street, BURLINGTON, NC, 27215 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000132137 | LABCORP | ACTIVE | 2021-10-01 | 2026-12-31 | No data | 531 S. SPRING STREET, BURLINGTON, NC, 27215 |
| G12000039860 | INTEGRATED GENETICS | EXPIRED | 2012-04-26 | 2017-12-31 | No data | 531 SOUTH SPRING STREET, BURLINGTON, NC, 27215 |
| G12000039861 | INTEGRATED ONCOLOGY | EXPIRED | 2012-04-26 | 2017-12-31 | No data | 531 SOUTH SPRING STREET, BURLINGTON, NC, 27215 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-01-31 | 531 South Spring Street, BURLINGTON, NC 27215 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-01-24 | 531 South Spring Street, BURLINGTON, NC 27215 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-31 |
| ANNUAL REPORT | 2023-04-18 |
| ANNUAL REPORT | 2022-04-25 |
| ANNUAL REPORT | 2021-04-26 |
| ANNUAL REPORT | 2020-03-10 |
| ANNUAL REPORT | 2019-01-03 |
| ANNUAL REPORT | 2018-01-24 |
| ANNUAL REPORT | 2017-01-11 |
| ANNUAL REPORT | 2016-01-25 |
| ANNUAL REPORT | 2015-01-07 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
