Entity Name: | Lions Mane Health PLLC |
Jurisdiction: | Connecticut |
Legal type: | LLC |
Citizenship: | Domestic |
Status: | Active |
Sub status: | Annual report past due |
Date Formed: | 04 Jun 2024 |
Business ALEI: | 3016592 |
Annual report due: | 31 Mar 2025 |
Business address: | 203 Main St, Middletown, CT, 06457-4402, United States |
Mailing address: | 203 Main St, Middletown, CT, United States, 06457-4402 |
ZIP code: | 06457 |
County: | Middlesex |
Place of Formation: | CONNECTICUT |
E-Mail: | yalax0731@gmail.com |
NAICS
621111 Offices of Physicians (except Mental Health Specialists)This U.S. industry comprises establishments of health practitioners having the degree of M.D. (Doctor of Medicine) or D.O. (Doctor of Osteopathic Medicine) primarily engaged in the independent practice of general or specialized medicine (except psychiatry or psychoanalysis) or surgery. These practitioners operate private or group practices in their own offices (e.g., centers, clinics) or in the facilities of others, such as hospitals or HMO medical centers. Learn more at the U.S. Census Bureau
Name | Role | Mailing address | Phone | Residence address | |
---|---|---|---|---|---|
Christopher Tagliavini | Agent | 330 Tunxis Rd, West Hartford, CT, 06107-3100, United States | +1 860-803-0185 | ctagliavini@gamedaymenshealth.com | 330 Tunxis Rd, West Hartford, CT, 06107-3100, United States |
Name | Role | Residence address |
---|---|---|
Marko Lujic | Officer | 25 River Road, New Haven, CT, 06473, United States |
Credential | Credential type | Status | Status reason | Issue date | Effective date | Expiration date |
---|---|---|---|---|---|---|
CLAB.0001123 | Clinical Laboratory | PENDING | APPLICATION PENDING | - | - | - |
Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
---|---|---|---|---|---|
BF-0012654307 | 2024-06-04 | - | Business Formation | Certificate of Organization | - |
Sources: Company Profile on Connecticut's Official State Website
* While we strive to keep this information correct and up-to-date, it is not the primary source, and the dataset source should always be referred to for definitive information