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TOTAL RENAL LABORATORIES, INC. - Florida Company Profile

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Company Details

Entity Name: TOTAL RENAL LABORATORIES, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 25 Oct 1993 (32 years ago)
Last Event: NAME CHANGE AMENDMENT
Event Date Filed: 24 Jul 1998 (27 years ago)
Document Number: P93000075674
FEI/EIN Number 593205549
Mail Address: 601 Hawaii Street, El Segundo, CA, 90245, US
Address: 3000 DaVita Way, DeLand, FL, 32724, US
ZIP code: 32724
City: Deland
County: Volusia
Place of Formation: FLORIDA

Links between entities

Type:
Headquarter of
Company Number:
1055197
State:
KENTUCKY

Key Officers & Management

Name Role Address
Iqbal, MD Jameel Vice President 3000 DaVita Way, DeLand, FL, 32724
King JoAnne D Vice President 3000 DaVita Way, DeLand, FL, 32724
Staffieri Michael D President 3000 DaVita Way, DeLand, FL, 32724
Berberich Stephanie N Secretary 3000 DaVita Way, DeLand, FL, 32724
Caldwell Samantha A Auth 3000 DaVita Way, DeLand, FL, 32724
- Agent -
Berry Christopher M Treasurer 3000 DaVita Way, DeLand, FL, 32724

Unique Entity ID

CAGE Code:
5L2Q6
UEI Expiration Date:
2016-03-04

Business Information

Activation Date:
2015-03-05
Initial Registration Date:
2009-07-13

Central Index Key

CIK number:
0001141874
Phone:
3107922600

Latest Filings

Form type:
424B5
File number:
333-203394-06
Filing date:
2015-04-15
File:
Form type:
424B5
File number:
333-203394-06
Filing date:
2015-04-14
File:
Form type:
S-3ASR
File number:
333-203394-06
Filing date:
2015-04-14
File:
Form type:
424B5
File number:
333-196630-09
Filing date:
2014-06-12
File:
Form type:
424B5
File number:
333-196630-09
Filing date:
2014-06-11
File:

Commercial and government entity program

CAGE number:
5L2Q6
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2025-06-26
CAGE Expiration:
2030-06-26

Contact Information

POC:
KELLY JACOBS

National Provider Identifier

NPI Number:
1245720820
Certification Date:
2024-08-28

Authorized Person:

Name:
KERI WAGNER
Role:
VP - GENERAL MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
291U00000X - Clinical Medical Laboratory
Is Primary:
Yes

Contacts:

Fax:
3866265638

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G17000002567 DAVITA LABS ACTIVE 2017-01-07 2027-12-31 - 3000 DA VITA WAY, DELAND, FL, 32724
G11000061677 DAVITA LABS EXPIRED 2011-06-20 2016-12-31 - 1991 INDUSTRIAL DRIVE, DELAND, FL, 32724

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-04-14 3000 DaVita Way, DeLand, FL 32724 -
CHANGE OF MAILING ADDRESS 2023-04-14 3000 DaVita Way, DeLand, FL 32724 -
REGISTERED AGENT NAME CHANGED 2021-04-23 CORPORATION SERVICE COMPANY -
REGISTERED AGENT ADDRESS CHANGED 2005-08-22 1201 HAYS STREET, TALLAHASSEE, FL 32301-2525 -
NAME CHANGE AMENDMENT 1998-07-24 TOTAL RENAL LABORATORIES, INC. -
NAME CHANGE AMENDMENT 1994-09-13 DIALYSIS LABORATORIES, INC. -
AMENDMENT 1994-02-03 - -

Documents

Name Date
AMENDED ANNUAL REPORT 2024-05-02
ANNUAL REPORT 2024-04-20
AMENDED ANNUAL REPORT 2023-05-09
AMENDED ANNUAL REPORT 2023-05-08
ANNUAL REPORT 2023-04-14
AMENDED ANNUAL REPORT 2022-05-13
ANNUAL REPORT 2022-04-20
AMENDED ANNUAL REPORT 2021-12-01
AMENDED ANNUAL REPORT 2021-11-23
AMENDED ANNUAL REPORT 2021-07-21

Trademarks

Serial Number:
75140042
Mark:
KLINLAB
Status:
Registration cancelled because registrant did not file an acceptable declaration under Section 8. To view all documents in this file, click on the Trademark Document Retrieval link at the top of this page.
Mark Type:
Trademark
Application Filing Date:
1996-07-26
Mark Drawing Type:
1 - TYPESET WORD(S) /LETTER(S) /NUMBER(S)
Mark Literal Elements:
KLINLAB

Goods And Services

For:
computer software, namely, clinical software comprising requisition and results reporting modules for creating paper and electronic laboratory test orders, for printing specimen labels with collection instructions, for evaluating orders against medicare rules, for documenting the diagnostic reason f...
First Use:
1995-09-01
International Classes:
009 - Primary Class
Class Status:
SECTION 8 - CANCELLED

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Date of last update: 02 Aug 2025

Sources: Florida Department of State