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INDEPENDENT CLINICAL LABORATORIES, LLC - Florida Company Profile

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Company Details

Entity Name: INDEPENDENT CLINICAL LABORATORIES, LLC
Jurisdiction: FLORIDA
Filing Type: Foreign Limited Liability Co.
Status: Active
Date Filed: 09 May 2025 (2 months ago)
Document Number: M25000006819
Address: 3110 CHERRY PALM DRIVE STE 340, TAMPA, 33619
Mail Address: 3110 CHERRY PALM DRIVE STE 340, TAMPA, FL33619
ZIP code: 33619
City: Tampa
County: Hillsborough
Place of Formation: DELAWARE

Key Officers & Management

Name Role Address
HARRELSON SHEA Agent 3110 CHERRY PALM DRIVE, STE 340, TAMPA, FL33619
HARRELSON SHEA President 3110 CHERRY PALM DRIVE STE 340, TAMPA, FL33619
HARRELSON SHEA Chief Executive Officer 3110 CHERRY PALM DRIVE STE 340, TAMPA, FL33619

National Provider Identifier

NPI Number:
1285707943
Certification Date:
2025-06-04

Authorized Person:

Name:
DANIEL NODES
Role:
COO
Phone:

Taxonomy:

Selected Taxonomy:
291U00000X - Clinical Medical Laboratory
Is Primary:
Yes

Contacts:

Fax:
8332474091
Fax:
8139310658

Events

Event Type Filed Date Value Description
LC AMENDMENT 2025-06-23 - -

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Date of last update: 19 May 2025

Sources: Florida Department of State