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Tide Laboratories, LLC

Details

Name: Tide Laboratories, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 22 Jun 2016 (8 years ago)
Entity Number: 000-365-630
Register Number: 000365630
Historical Names: Tide Tox, LLC
County: De Kalb
Place of Formation: DeKalb County
Registered Office Street Address: 3008 FOREST AVE NWFORT PAYNE, AL 35968
Registered Office Street Address ZIP Code: 35968

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1306343231 2018-04-08 2018-04-08 913 AIRPORT RD W STE B, FORT PAYNE, AL, 359683315, US 913 AIRPORT RD W STE B, FORT PAYNE, AL, 359683315, US

Contacts

Phone +1 256-845-1261

Authorized person

Name TREVOR JORDAN CLECKLER
Role MEMBER
Phone 2565164153

Taxonomy

Taxonomy Code 291U00000X - Clinical Medical Laboratory
License Number 01D2119386
State AL
Is Primary Yes

Agent

Name Role
CLECKLER, EMMA Agent

Organizer

Name Role Address
LEGALZOOM.COM INC Organizer 101 N BRAND BLVD 10TH FLOORGLENDALE, CA 91203

Events

Event Date Event Type Old Value New Value
2018-03-07 Name Change Tide Tox, LLC Tide Laboratories, LLC

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State