| Entity Name: | EPIC REFERENCE LABS,INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 28 Jan 2013 (12 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 12 Oct 2021 (3 years ago) |
| Document Number: | P13000009268 |
| FEI/EIN Number | 46-2266700 |
| Address: | 400 S Australian Ave, Suite 800, West Palm Beach, FL, 33401, US |
| Mail Address: | 400 S Australian Ave, Suite 800, West Palm Beach, FL, 33401, US |
| ZIP code: | 33401 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1952733438 | 2013-08-06 | 2016-05-16 | 7960 CENTRAL INDUSTRIAL DR, SUITE 120, RIVIERA BEACH, FL, 334043444, US | 7960 CENTRAL INDUSTRIAL DR, SUITE 120, RIVIERA BEACH, FL, 334043444, US | |||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||
| Phone | +1 561-249-4434 |
| Fax | 5615578737 |
Authorized person
| Name | SRI BHARAT MADIREDDY |
| Role | CEO |
| Phone | 5612494317 |
Taxonomy
| Taxonomy Code | 291U00000X - Clinical Medical Laboratory |
| License Number | 800027064 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PTAN |
| Number | HZ205A |
| Issuer | CLIA |
| Number | 10D2067916 |
| Name | Role |
|---|---|
| CORPORATION COMPANY OF MIAMI | Agent |
| Name | Role | Address |
|---|---|---|
| Lagan Seamus | Chief Executive Officer | 400 S Australian Ave, West Palm Beach, FL, 33401 |
| Name | Role | Address |
|---|---|---|
| Dymond Kristine | Secretary | 400 S Australian Ave, West Palm Beach, FL, 33401 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2023-04-25 | 400 S Australian Ave, Suite 800, West Palm Beach, FL 33401 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-25 | 400 S Australian Ave, Suite 800, West Palm Beach, FL 33401 | No data |
| REINSTATEMENT | 2021-10-12 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-04-28 | 200 S BISCAYNE BLVD, SUITE 4100 (JTC), MIAMI, FL 33131 | No data |
| REGISTERED AGENT NAME CHANGED | 2017-04-28 | CORPORATION COMPANY OF MIAMI | No data |
| AMENDMENT | 2014-10-20 | No data | No data |
| NAME CHANGE AMENDMENT | 2013-10-14 | EPIC REFERENCE LABS,INC. | No data |
| AMENDMENT | 2013-07-11 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J22000286775 | ACTIVE | 1000000923067 | PALM BEACH | 2022-05-17 | 2032-06-15 | $ 1,037.68 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, WEST PALM BEACH SERVICE CENTER, 2468 METROCENTRE BLVD, WEST PALM BEACH FL334073105 |
| J21000139760 | ACTIVE | 1000000878078 | PALM BEACH | 2021-02-23 | 2031-03-31 | $ 2,631.23 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, WEST PALM BEACH SERVICE CENTER, 2468 METROCENTRE BLVD, WEST PALM BEACH FL334073105 |
| J19000027944 | TERMINATED | 1000000809815 | PALM BEACH | 2019-01-03 | 2029-01-09 | $ 5,364.09 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, WEST PALM BEACH SERVICE CENTER, 2468 METROCENTRE BLVD, WEST PALM BEACH FL334073105 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-01 |
| ANNUAL REPORT | 2023-04-25 |
| ANNUAL REPORT | 2022-03-15 |
| REINSTATEMENT | 2021-10-12 |
| ANNUAL REPORT | 2020-07-07 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-30 |
| AMENDED ANNUAL REPORT | 2017-04-28 |
| ANNUAL REPORT | 2017-02-15 |
| ANNUAL REPORT | 2016-04-08 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
