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GULF COAST REFERENCE LABORATORIES, INC.

Company Details

Entity Name: GULF COAST REFERENCE LABORATORIES, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 30 Sep 1991 (33 years ago)
Document Number: S84278
FEI/EIN Number 593088911
Address: 5303 LOCUST PLACE, NEW PORT RICHEY, FL, 34652
Mail Address: 5303 LOCUST PLACE, NEW PORT RICHEY, FL, 34652
ZIP code: 34652
County: Pasco
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1235294034 2006-12-22 2020-08-22 5354 GULF DRIVE, NEW PORT RICHEY, FL, 346523920, US 5354 GULF DRIVE, NEW PORT RICHEY, FL, 346523920, US

Contacts

Phone +1 727-847-0006
Fax 7278474589

Authorized person

Name LESTER E LANE
Role PRESIDENT
Phone 7278495075

Taxonomy

Taxonomy Code 291U00000X - Clinical Medical Laboratory
State FL
Is Primary Yes

Agent

Name Role Address
LANE, LESTER E. Agent 5303 LOCUST PLACE, NEW PORT RICHEY, FL, 34652

Treasurer

Name Role Address
LANE, LESTER E. Treasurer 5303 LOCUST PLACE, NEW PORT RICHEY, FL

Director

Name Role Address
LANE, LESTER E. Director 5303 LOCUST PLACE, NEW PORT RICHEY, FL

President

Name Role Address
LANE, LESTER E. President 5303 LOCUST PLACE, NEW PORT RICHEY, FL

Events

Event Type Filed Date Value Description
NAME CHANGE AMENDMENT 1991-11-08 GULF COAST REFERENCE LABORATORIES, INC. No data

Date of last update: 03 Jan 2025

Sources: Florida Department of State