| Entity Name: | BIO-TECH CLINICAL LABORATORIES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 09 Jun 1999 (26 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 16 Oct 2018 (6 years ago) |
| Document Number: | P99000052146 |
| FEI/EIN Number | 650926067 |
| Address: | 9000 NW 15 STREET UNIT 1, Doral, FL, 33172, US |
| Mail Address: | 9000 NW 15 STREET UNIT 1, Doral, FL, 33172, US |
| ZIP code: | 33172 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073534145 | 2006-07-22 | 2020-02-25 | 9000 NW 15TH ST UNIT 1, DORAL, FL, 331722909, US | 9000 NW 15TH ST UNIT 1, DORAL, FL, 331722909, US | |||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 305-267-1220 |
| Fax | 7863888034 |
Authorized person
| Name | MR. CARLOS JESUS RODRIGUEZ |
| Role | ADMINISTRATION |
| Phone | 3053671220 |
Taxonomy
| Taxonomy Code | 291U00000X - Clinical Medical Laboratory |
| License Number | 800014740 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | CLIA ID NUMBER |
| Number | 10D0965332 |
| State | FL |
| Issuer | STATE OF FLORIDA |
| Number | 800014740 |
| State | FL |
| Issuer | BCBS |
| Number | L9210 |
| State | FL |
| Issuer | MEDICAID |
| Number | 103547500 |
| State | FL |
| Issuer | TAXONOMY |
| Number | 291U00000X |
| State | FL |
| Name | Role | Address |
|---|---|---|
| VILLANUEVA CLAUDIA | Agent | 9000 NW 15 STREET UNIT 1, Doral, FL, 33172 |
| Name | Role | Address |
|---|---|---|
| VILLANUEVA CLAUDIA | President | 9000 NW 15 STREET UNIT 1, Doral, FL, 33172 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2018-10-16 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-10-16 | 9000 NW 15 STREET UNIT 1, Doral, FL 33172 | No data |
| CHANGE OF MAILING ADDRESS | 2018-10-16 | 9000 NW 15 STREET UNIT 1, Doral, FL 33172 | No data |
| REGISTERED AGENT NAME CHANGED | 2018-10-16 | VILLANUEVA, CLAUDIA | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-10-16 | 9000 NW 15 STREET UNIT 1, Doral, FL 33172 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-26 |
| ANNUAL REPORT | 2023-02-08 |
| ANNUAL REPORT | 2022-02-15 |
| ANNUAL REPORT | 2021-04-08 |
| ANNUAL REPORT | 2020-06-20 |
| ANNUAL REPORT | 2019-04-22 |
| REINSTATEMENT | 2018-10-16 |
| ANNUAL REPORT | 2017-07-03 |
| AMENDED ANNUAL REPORT | 2016-12-15 |
| ANNUAL REPORT | 2016-04-21 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
