0001754517-18-000001.txt : 20180927 0001754517-18-000001.hdr.sgml : 20180927 20180927153750 ACCESSION NUMBER: 0001754517-18-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b ITEM INFORMATION: 4a5 FILED AS OF DATE: 20180927 DATE AS OF CHANGE: 20180927 EFFECTIVENESS DATE: 20180927 FILER: COMPANY DATA: COMPANY CONFORMED NAME: 1 Source Lab & Medical Services, LLC CENTRAL INDEX KEY: 0001754517 IRS NUMBER: 813250514 STATE OF INCORPORATION: AZ FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-322319 FILM NUMBER: 181090893 BUSINESS ADDRESS: STREET 1: 18818 N. 62ND DRIVE CITY: GLENDALE STATE: AZ ZIP: 85308 BUSINESS PHONE: 623-261-1716 MAIL ADDRESS: STREET 1: 18818 N. 62ND DRIVE CITY: GLENDALE STATE: AZ ZIP: 85308 D 1 primary_doc.xml X0708 D LIVE 0001754517 1 Source Lab & Medical Services, LLC 18818 N. 62ND DRIVE GLENDALE AZ ARIZONA 85308 623-261-1716 ARIZONA None None Limited Liability Company true 2016 Manuel E. Salgado 18818 N. 62nd Drive Glendale AZ ARIZONA 85308 Executive Officer Director Other Health Care No Revenues 06b 4a5 false 2018-07-11 false true false 25000 Indefinite 250000 Indefinite false 1 0 0 0 false 1 Source Lab & Medical Services, LLC Manuel E. Salgado Manuel E. Salgado Managing Member 2018-09-27