| Entity Name: | DLG MOBILE LAB SERVICES INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 17 Jul 2024 (7 months ago) |
| Document Number: | P24000047389 |
| Address: | 6064 CAUSEWAY BLVD, TAMPA, FL, 33619, US |
| Mail Address: | 6064 CAUSEWAY BLVD, TAMPA, FL, 33619, US |
| ZIP code: | 33619 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457179335 | 2024-09-30 | 2024-09-30 | 6064 CAUSEWAY BLVD, TAMPA, FL, 336196206, US | 6064 CAUSEWAY BLVD, TAMPA, FL, 336196206, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Phone | +1 813-812-9868 |
| Fax | 8139991046 |
Authorized person
| Name | AMPARO RODRIGUEZ NIEVES |
| Role | OWNER |
| Phone | 8138129868 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | No |
| Taxonomy Code | 251J00000X - Nursing Care Agency |
| Is Primary | No |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | No |
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QA0600X - Adult Day Care Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 261QC1500X - Community Health Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QC1800X - Corporate Health Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QF0050X - Non-Surgical Family Planning Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QM1000X - Migrant Health Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QM2500X - Medical Specialty Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QP2400X - Prison Health Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 291U00000X - Clinical Medical Laboratory |
| Is Primary | No |
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ NIEVES AMPARO | Agent | 6064 CAUSEWAY BLVD, TAMPA, FL, 33619 |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ NIEVES AMPARO | President | 6064 CAUSEWAY BLVD, TAMPA, FL, 33619 |
| Name | Date |
|---|---|
| Domestic Profit | 2024-07-17 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
