| Entity Name: | ACUPATH, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 03 Jul 2003 (22 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 18 Nov 2024 (3 months ago) |
| Document Number: | P03000073741 |
| FEI/EIN Number | 571179024 |
| Mail Address: | PO BOX 644286, VERO BEACH, FL, 32964 |
| Address: | 1710 36th St, Building A, Vero Beach, FL, 32960, US |
| ZIP code: | 32960 |
| County: | Indian River |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396875936 | 2007-03-06 | 2021-05-21 | 1710 36TH ST BLDG A, VERO BEACH, FL, 329604824, US | 1710 36TH ST BLDG A, VERO BEACH, FL, 329604824, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 772-567-7088 |
| Fax | 7729789212 |
Authorized person
| Name | DR. NEIL S MEDALIE |
| Role | PRESIDENT |
| Phone | 7725677088 |
Taxonomy
| Taxonomy Code | 291U00000X - Clinical Medical Laboratory |
| License Number | 800013147 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 271079000 |
| State | FL |
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | L9265 |
| State | FL |
| Issuer | RAILROAD MEDICARE |
| Number | P00068875 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ACUPATH, INC. DEFINED BENEFIT PENSION PLAN | 2017 | 571179024 | 2018-09-26 | ACUPATH, INC. | 5 | |||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2018-09-26 |
| Name of individual signing | NEIL MEDALIE |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2018-09-26 |
| Name of individual signing | NEIL MEDALIE |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2005-01-01 |
| Business code | 621510 |
| Sponsor’s telephone number | 7725677088 |
| Plan sponsor’s address | 1710 36TH ST., BUILDING A, VERO BEACH, FL, 329606552 |
Signature of
| Role | Plan administrator |
| Date | 2018-09-26 |
| Name of individual signing | NEIL MEDALIE |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2018-09-26 |
| Name of individual signing | NEIL MEDALIE |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| CT CORPORATION SYSTEM | Agent | 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL, 33324 |
| Name | Role | Address |
|---|---|---|
| Reilly Shannon R | Secretary | PO BOX 644286, VERO BEACH, FL, 32964 |
| Name | Role | Address |
|---|---|---|
| PAPAIOANU ATHANASSIOS | Chief Executive Officer | 358 GRASSMERE PARK DR SUITE 102, NASHVILLE, TN, 37211 |
| Name | Role | Address |
|---|---|---|
| MERCER MICHAEL | Chief Financial Officer | 658 GRASSMERE PARK DR SUITE 102, NASHVILLE, TN, 37211 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G10000009934 | PATHOLOGY ASSOCIATES OF INDIAN RIVER | ACTIVE | 2010-02-01 | 2025-12-31 | No data | 1710 36TH ST, BLDG A, VERO BEACH, FL, 32960 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2024-11-18 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2024-11-18 | CT CORPORATION SYSTEM | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-11-18 | 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-03-20 | 1710 36th St, Building A, Vero Beach, FL 32960 | No data |
| CHANGE OF MAILING ADDRESS | 2009-01-18 | 1710 36th St, Building A, Vero Beach, FL 32960 | No data |
| Name | Date |
|---|---|
| Amendment | 2024-11-18 |
| ANNUAL REPORT | 2024-01-17 |
| ANNUAL REPORT | 2023-04-11 |
| ANNUAL REPORT | 2022-03-07 |
| ANNUAL REPORT | 2021-02-22 |
| ANNUAL REPORT | 2020-02-05 |
| ANNUAL REPORT | 2019-05-08 |
| ANNUAL REPORT | 2018-03-12 |
| ANNUAL REPORT | 2017-01-12 |
| ANNUAL REPORT | 2016-03-01 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
