PUTNAM CLINICAL LABORATORIES INC
Medical Laboratory at Zeagler Dr, Palatka, FL

License number
Florida 800008234
Category
Medical Laboratory
Type
Clinical Medical Laboratory
Owner
Name: ELIO MADAN MD
Title: OWNER
Phone: (386) 328-4036
Address
Address
700 Zeagler Dr STE 8, Palatka, FL 32177
National Provider ID: 1336159979
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PUTNAM CLINICAL LABORATORIES, INC

700 Zeagler Dr SUITE 8, Palatka, FL 32177

Status:
Inactive
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Sep 23, 1998
Inactive since:
Sep 25, 2009
State ID:
P98000083045
Business type:
Florida Profit Corporation
President, Director:
Arlene P Madan President, Director, inactive, 1634 Colonial Dr, Green Cove Springs, FL 32043 (Physical)
Agent:
Cc Accounting Co,6910 W University Ave, Gainesville, FL 32607 (Physical)
EIN:
59-3533667

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