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Elite-Diagnostic LLC

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Company Details

Name: Elite-Diagnostic LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 24 Jul 2024 (a year ago)
Business ID: 1450948
ZIP code: 39218
County: Rankin
State of Incorporation: MISSISSIPPI
Principal Office Address: 1201 Hwy 49 S STE 5, 1201 Hwy 49 S STE 5Richland, MS 39218

Agent

Name Role Address
Akimmie L Lewis Agent 1201 Hwy 49 South Suite 5, Richland, MS 39218

Manager

Name Role Address
Breanna Lewis Manager 1201 Hwy 49 South Suite 5, Richland, MS 39218

National Provider Identifier

NPI Number:
1144049495
Certification Date:
2024-10-03

Authorized Person:

Name:
AKIMMIE LYNN LEWIS
Role:
DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
247200000X - Other Technician
Is Primary:
No
Selected Taxonomy:
246RP1900X - Phlebotomy Technician
Is Primary:
Yes

Contacts:

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-04-15 Annual Report For Elite-Diagnostic LLC
Formation Form Filed 2024-07-24 Formation For Elite-Diagnostic LLC

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Date of last update: 06 Jun 2025

Sources: Company Profile on Mississippi Secretary of State Website