| Entity Name: | DIAGNOSTIC MEDICAL TESTING, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 10 Apr 2006 (19 years ago) |
| Document Number: | P06000050538 |
| FEI/EIN Number | 204681980 |
| Address: | 5304 Mile Stretch Drive, HOLIDAY, FL, 34690-6060, US |
| Mail Address: | 5304 Mile Stretch Drive, HOLIDAY, FL, 34690-6060, US |
| Place of Formation: | FLORIDA |
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | DIAGNOSTIC MEDICAL TESTING, INC., KENTUCKY | 1105167 | KENTUCKY |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1083672208 | 2006-05-04 | 2024-08-30 | 5304 MILE STRETCH DR, HOLIDAY, FL, 346906060, US | 5304 MILE STRETCH DR, HOLIDAY, FL, 346906060, US | |||||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 727-940-5908 |
| Fax | 8663233781 |
| Fax | 8664042411 |
Authorized person
| Name | ANTHONY O CROXTON |
| Role | PRESIDENT |
| Phone | 7279405908 |
Taxonomy
| Taxonomy Code | 163WW0000X - Wound Care Registered Nurse |
| Is Primary | No |
| Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
| Is Primary | No |
| Taxonomy Code | 207RP1001X - Pulmonary Disease Physician |
| Is Primary | No |
| Taxonomy Code | 207RS0012X - Sleep Medicine (Internal Medicine) Physician |
| Is Primary | No |
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 293D00000X - Physiological Laboratory |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AHCA |
| Number | HCC7223 |
| State | FL |
| Name | Role |
|---|---|
| CROXTON ENTERPRISES,LLC | Agent |
| Name | Role | Address |
|---|---|---|
| CROXTON ANTHONY OSr. | President | 5304 Mile Stretch Drive, HOLIDAY, FL, 346906060 |
| Name | Role | Address |
|---|---|---|
| CRAGLE TANYA | Secretary | 5304 Mile Stretch Drive, HOLIDAY, FL, 346906060 |
| Name | Role | Address |
|---|---|---|
| ISSAC WENDY | Officer | 5304 Mile Stretch Drive, HOLIDAY, FL, 346906060 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000126489 | HMV DIAGNOSTICS INC | ACTIVE | 2024-10-12 | 2029-12-31 | No data | 5304 MILE STRETCH DRIVE, HOLIDAY, FL, 34690 |
| G14000040296 | HOME MEDICAL VISITS | EXPIRED | 2014-04-23 | 2024-12-31 | No data | 2435 US HWY 19 SUITE 300, HOLIDAY, FL, 34691 |
| G09000108431 | HMV DIAGNOSTICS, INC. | ACTIVE | 2009-05-18 | 2029-12-31 | No data | 5304 MILE STRETCH DRIVE, HOLIDAY, FL, 34690 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-12-16 | 5304 Mile Stretch Drive, HOLIDAY, FL 34690-6060 | No data |
| CHANGE OF MAILING ADDRESS | 2020-12-16 | 5304 Mile Stretch Drive, HOLIDAY, FL 34690-6060 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-12-16 | 5304 Mile Stretch Drive, HOLIDAY, FL 34690-6060 | No data |
| REGISTERED AGENT NAME CHANGED | 2016-01-14 | Croxton Enterprises, LLC | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-10-12 |
| AMENDED ANNUAL REPORT | 2024-05-07 |
| ANNUAL REPORT | 2024-05-06 |
| ANNUAL REPORT | 2023-04-28 |
| AMENDED ANNUAL REPORT | 2022-09-14 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-03-24 |
| AMENDED ANNUAL REPORT | 2020-12-16 |
| ANNUAL REPORT | 2020-05-10 |
| ANNUAL REPORT | 2019-04-04 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
