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TREASURE COAST DIAGNOSTIC LABORATORY, INCORPORATED

Company Details

Entity Name: TREASURE COAST DIAGNOSTIC LABORATORY, INCORPORATED
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 02 May 2023 (2 years ago)
Document Number: P23000034594
FEI/EIN Number 92-3856245
Mail Address: PO BOX 880245, PORT SAINT LUCIE, FL 34988
Address: 290 NW Peacock Blvd, PORT SAINT LUCIE, FL 34986
ZIP code: 34986
County: St. Lucie
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1467146324 2023-06-05 2023-06-05 PO BOX 880245, PORT SAINT LUCIE, FL, 349880245, US 142 NW SWANN MILL CIR, PORT SAINT LUCIE, FL, 349863592, US

Contacts

Phone +1 772-773-0935

Authorized person

Name MR. RONDY LOUISSAINT
Role CEO
Phone 7727730935

Taxonomy

Taxonomy Code 291U00000X - Clinical Medical Laboratory
Is Primary Yes

Agent

Name Role Address
LOUISSAINT, RONDY Agent 290 NW Peacock Blvd, PORT SAINT LUCIE, FL 34986

President

Name Role Address
LOUISSAINT, RONDY President 290 NW Peacock Blvd, PORT SAINT LUCIE, FL 34986

Vice President

Name Role Address
LOUISSAINT, RACQUEL Vice President 290 NW Peacock Blvd, PORT SAINT LUCIE, FL 34986

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-04-30 290 NW Peacock Blvd, PORT SAINT LUCIE, FL 34986 No data
REGISTERED AGENT ADDRESS CHANGED 2024-04-30 290 NW Peacock Blvd, PORT SAINT LUCIE, FL 34986 No data

Documents

Name Date
ANNUAL REPORT 2024-04-30
Domestic Profit 2023-05-02

Date of last update: 10 Jan 2025

Sources: Florida Department of State