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  5. PATHOLOGY SPECIALISTS, P.A.

PATHOLOGY SPECIALISTS, P.A.

Company Details

Entity Name: PATHOLOGY SPECIALISTS, P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 04 Aug 1970 (55 years ago)
Last Event: RESTATED ARTICLES AND NAME CHANGE
Event Date Filed: 12 Sep 1997 (27 years ago)
Document Number: 602318
FEI/EIN Number 59-1300359
Address: 84 W JERSEY STREET, SUITE 1, ORLANDO, FL 32806
Mail Address: 84 W JERSEY STREET, SUITE 1, ORLANDO, FL 32806
ZIP code: 32806
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1679545909 2006-02-02 2014-06-06 84 W JERSEY ST, SUITE 1, ORLANDO, FL, 328064442, US 84 W JERSEY ST, SUITE 1, ORLANDO, FL, 328064442, US

Contacts
Phone +1 407-422-1377
Fax 4074221384

Authorized person
Name DR. WANG L CHEUNG
Role CHIEF FINANCIAL OFFICER
Phone 4074221377

Taxonomy
Taxonomy Code 207ZB0001X - Blood Banking & Transfusion Medicine Physician
Is Primary No
Taxonomy Code 207ZC0500X - Cytopathology Physician
Is Primary No
Taxonomy Code 207ZD0900X - Dermatopathology (Pathology) Physician
Is Primary No
Taxonomy Code 207ZH0000X - Hematology (Pathology) Physician
Is Primary No
Taxonomy Code 207ZI0100X - Immunopathology Physician
Is Primary No
Taxonomy Code 207ZM0300X - Medical Microbiology Physician
Is Primary No
Taxonomy Code 207ZN0500X - Neuropathology Physician
Is Primary No
Taxonomy Code 207ZP0102X - Anatomic Pathology & Clinical Pathology Physician
Is Primary Yes
Taxonomy Code 207ZP0104X - Chemical Pathology Physician
Is Primary No
Taxonomy Code 207ZP0213X - Pediatric Pathology Physician
Is Primary No

Other Provider Identifiers
Issuer MEDICAID
Number 043953300
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PATHOLOGY SPECIALISTS, P.A. CASH BALANCE PLAN 2023 591300359 2024-07-22 PATHOLOGY SPECIALISTS, P.A. 1
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 4074221377
Plan sponsor’s address 84 W. JERSEY STREET, SUITE 1, ORLANDO, FL, 32806
PATHOLOGY SPECIALISTS, P.A. CASH BALANCE PLAN 2022 591300359 2023-07-28 PATHOLOGY SPECIALISTS, P.A. 33
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 4074221377
Plan sponsor’s address 84 W. JERSEY STREET, SUITE 1, ORLANDO, FL, 32806
PATHOLOGY SPECIALISTS, P.A. 401(K) PROFIT SHARING PLAN 2022 591300359 2023-10-10 PATHOLOGY SPECIALISTS, P.A. 39
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 4074221377
Plan sponsor’s address 84 W. JERSEY STREET, SUITE 1, ORLANDO, FL, 32806
PATHOLOGY SPECIALISTS, P.A. 401(K) PROFIT SHARING PLAN 2021 591300359 2022-10-17 PATHOLOGY SPECIALISTS, P.A. 37
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 4074221377
Plan sponsor’s address 84 W. JERSEY STREET, SUITE 1, ORLANDO, FL, 32806
PATHOLOGY SPECIALISTS, P.A. CASH BALANCE PLAN 2021 591300359 2022-10-17 PATHOLOGY SPECIALISTS, P.A. 34
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 4074221377
Plan sponsor’s address 84 W. JERSEY STREET, SUITE 1, ORLANDO, FL, 32806
PATHOLOGY SPECIALISTS, P.A. 401(K) PROFIT SHARING PLAN 2020 591300359 2021-10-07 PATHOLOGY SPECIALISTS, P.A. 35
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 4074221377
Plan sponsor’s address 84 W. JERSEY STREET, SUITE 1, ORLANDO, FL, 32806
PATHOLOGY SPECIALISTS, P.A. CASH BALANCE PLAN 2020 591300359 2021-10-07 PATHOLOGY SPECIALISTS, P.A. 32
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 4074221377
Plan sponsor’s address 84 W. JERSEY STREET, SUITE 1, ORLANDO, FL, 32806
PATHOLOGY SPECIALISTS, P.A. CASH BALANCE PLAN 2019 591300359 2020-10-08 PATHOLOGY SPECIALISTS, P.A. 26
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 4074221377
Plan sponsor’s address 84 W. JERSEY STREET, SUITE 1, ORLANDO, FL, 32806
PATHOLOGY SPECIALISTS, P.A. 401(K) PROFIT SHARING PLAN 2019 591300359 2020-10-08 PATHOLOGY SPECIALISTS, P.A. 30
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 4074221377
Plan sponsor’s address 84 W. JERSEY STREET, SUITE 1, ORLANDO, FL, 32806
PATHOLOGY SPECIALISTS, P.A. CASH BALANCE PLAN 2018 591300359 2019-10-09 PATHOLOGY SPECIALISTS, P.A. 23
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 4074221377
Plan sponsor’s address 84 W. JERSEY STREET, SUITE 1, ORLANDO, FL, 32806

Agent

Name Role Address
CHEUNG, WANG L, MD Agent 84 W JERSEY STREET, SUITE 1, ORLANDO, FL 32806

Director

Name Role Address
Cheung, Wang L, MD Director 84 W JERSEY STREET, SUITE 1, ORLANDO, FL 32806
Magill, James M, MD Director 84 W JERSEY STREET, SUITE 1, ORLANDO, FL 32806
Liang, Mei, MD Director 84 W JERSEY STREET, SUITE 1, ORLANDO, FL 32806
LI, SHUAN, MD Director 84 W JERSEY STREET, SUITE 1, ORLANDO, FL 32806
Rich, Amy E., MD Director 84 W JERSEY STREET, SUITE 1, ORLANDO, FL 32806
Eisenberg, Rachel E., MD Director 84 W JERSEY STREET, SUITE 1 ORLANDO, FL 32806
Zhou, Amy G., MD Director 84 W. JERSEY STREET, Suite 1 ORLANDO, FL 32806

Vice President

Name Role Address
Magill, James M, MD Vice President 84 W JERSEY STREET, SUITE 1, ORLANDO, FL 32806
Liang, Mei, MD Vice President 84 W JERSEY STREET, SUITE 1, ORLANDO, FL 32806
Rich, Amy E., MD Vice President 84 W JERSEY STREET, SUITE 1, ORLANDO, FL 32806
Eisenberg, Rachel E., MD Vice President 84 W JERSEY STREET, SUITE 1 ORLANDO, FL 32806
Zhou, Amy G., MD Vice President 84 W. JERSEY STREET, Suite 1 ORLANDO, FL 32806

Chief Financial Officer

Name Role Address
Hornsby, Christopher D, MD Chief Financial Officer 84 W JERSEY STREET, SUITE 1, ORLANDO, FL 32806

Secretary

Name Role Address
LI, SHUAN, MD Secretary 84 W JERSEY STREET, SUITE 1, ORLANDO, FL 32806

President

Name Role Address
Cheung, Wang L, MD President 84 W JERSEY STREET, SUITE 1, ORLANDO, FL 32806

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2021-04-26 CHEUNG, WANG L, MD No data
CHANGE OF PRINCIPAL ADDRESS 2009-04-22 84 W JERSEY STREET, SUITE 1, ORLANDO, FL 32806 No data
CHANGE OF MAILING ADDRESS 2009-04-22 84 W JERSEY STREET, SUITE 1, ORLANDO, FL 32806 No data
REGISTERED AGENT ADDRESS CHANGED 2009-04-22 84 W JERSEY STREET, SUITE 1, ORLANDO, FL 32806 No data
RESTATED ARTICLES AND NAME CHANGE 1997-09-12 PATHOLOGY SPECIALISTS, P.A. No data

Documents

Name Date
AMENDED ANNUAL REPORT 2024-04-19
ANNUAL REPORT 2024-04-02
ANNUAL REPORT 2023-03-29
ANNUAL REPORT 2022-04-26
ANNUAL REPORT 2021-04-26
ANNUAL REPORT 2020-06-05
ANNUAL REPORT 2019-02-20
ANNUAL REPORT 2018-04-30
ANNUAL REPORT 2017-04-07
ANNUAL REPORT 2016-02-29

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5213637307 2020-04-30 0491 PPP 84 W Jersey Street Suite 1, Orlando, FL, 32806
Loan Status Date 2021-06-08
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 798600
Loan Approval Amount (current) 798600
Undisbursed Amount 0
Franchise Name -
Lender Location ID 17616
Servicing Lender Name Seacoast National Bank
Servicing Lender Address 815 Colorado Ave, STUART, FL, 34994-3053
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Orlando, ORANGE, FL, 32806-1003
Project Congressional District FL-10
Number of Employees 26
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 17616
Originating Lender Name Seacoast National Bank
Originating Lender Address STUART, FL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 806870.43
Forgiveness Paid Date 2021-05-21

Related by officers

Hornsby, Christopher D, MD

PATHOLOGY MANAGEMENT CORPORATION

Liang, Mei, MD

PATHOLOGY MANAGEMENT CORPORATION

LI, SHUAN, MD

PSAP LAB INC. PATHOLOGY MANAGEMENT CORPORATION

Related by address

No related companies by address

Date of last update: 06 Feb 2025

Sources: Florida Department of State

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