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DIAGNOSTIC CYTOPATHOLOGY LABORATORY, INC.

Company Details

Entity Name: DIAGNOSTIC CYTOPATHOLOGY LABORATORY, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 27 Sep 1988 (36 years ago)
Document Number: K34676
FEI/EIN Number 650096492
Mail Address: 17792 FIELDBROOK CIRCLE WEST, BOCA RATON, FL, 33496-1568, US
Address: 135 San Lorenzo Avenue, Coral Gables, FL, 33146-1525, US
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1922131903 2007-03-13 2014-04-08 PO BOX 140878, CORAL GABLES, FL, 331140878, US 135 SAN LORENZO AVE, UNIT 100, CORAL GABLES, FL, 331461524, US

Contacts
Phone +1 305-448-7213
Fax 3054489282

Authorized person
Name DR. IDALIA M SANTAELLA
Role MANAGING DIRECTOR
Phone 3054487213

Taxonomy
Taxonomy Code 207SM0001X - Molecular Genetic Pathology (Medical Genetics) Physician
License Number ME44084
State FL
Is Primary No
Taxonomy Code 207ZC0500X - Cytopathology Physician
License Number ME44084
State FL
Is Primary No
Taxonomy Code 207ZP0007X - Molecular Genetic Pathology (Pathology) Physician
License Number ME44084
State FL
Is Primary No
Taxonomy Code 207ZP0101X - Anatomic Pathology Physician
License Number ME44084
State FL
Is Primary No
Taxonomy Code 207ZP0102X - Anatomic Pathology & Clinical Pathology Physician
License Number ME44084
State FL
Is Primary No
Taxonomy Code 2085U0001X - Diagnostic Ultrasound Physician
License Number ME44084
State FL
Is Primary No
Taxonomy Code 208D00000X - General Practice Physician
License Number ME44084
State FL
Is Primary Yes
Taxonomy Code 246R00000X - Pathology Technician
License Number ME44084
State FL
Is Primary No
Taxonomy Code 246RH0600X - Histology Technician
License Number ME44084
State FL
Is Primary No
Taxonomy Code 246RM2200X - Medical Laboratory Technician
License Number ME44084
State FL
Is Primary No
Taxonomy Code 291U00000X - Clinical Medical Laboratory
License Number ME44084
State FL
Is Primary No

Other Provider Identifiers
Issuer MEDICAID
Number 056941100
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DIAGNOSTIC CYTOPATHOLOGY LABORATORY, INC. CBP 2023 650096492 2024-07-26 DIAGNOSTIC CYTOPATHOLOGY LABORATORY, INC. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621510
Sponsor’s telephone number 5617023569
Plan sponsor’s address 135 SAN LORENZO AVE STE 100, CORAL GABLES, FL, 33146
DIAGNOSTIC CYTOPATHOLOGY LABORATORY, INC. 401(K) PLAN 2023 650096492 2024-08-07 DIAGNOSTIC CYTOPATHOLOGY LABORATORY, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621510
Sponsor’s telephone number 5617023569
Plan sponsor’s address 135 SAN LORENZO AVE. STE 100, CORAL GABLES, FL, 33146

Signature of
Role Plan administrator
Date 2024-08-07
Name of individual signing ROBERT APORTELA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-08-07
Name of individual signing ROBERT APORTELA
Valid signature Filed with authorized/valid electronic signature
DIAGNOSTIC CYTOPATHOLOGY LABORATORY, INC. CBP 2023 650096492 2024-07-26 DIAGNOSTIC CYTOPATHOLOGY LABORATORY, INC. 5
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621510
Sponsor’s telephone number 5617023569
Plan sponsor’s address 135 SAN LORENZO AVE STE 100, CORAL GABLES, FL, 33146
DIAGNOSTIC CYTOPATHOLOGY LABORATORY, INC. CBP 2023 650096492 2024-12-02 DIAGNOSTIC CYTOPATHOLOGY LABORATORY, INC. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621510
Sponsor’s telephone number 5617023569
Plan sponsor’s address 135 SAN LORENZO AVE STE 100, CORAL GABLES, FL, 33146
DIAGNOSTIC CYTOPATHOLOGY LABORATORY, INC. 401(K) PLAN 2022 650096492 2023-09-22 DIAGNOSTIC CYTOPATHOLOGY LABORATORY, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621510
Sponsor’s telephone number 5617023569
Plan sponsor’s address 135 SAN LORENZO AVE. STE 100, CORAL GABLES, FL, 33146

Signature of
Role Plan administrator
Date 2023-09-22
Name of individual signing ROBERT APORTELA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-09-22
Name of individual signing ROBERT APORTELA
Valid signature Filed with authorized/valid electronic signature
DIAGNOSTIC CYTOPATHOLOGY LABORATORY, INC. CBP 2022 650096492 2023-08-31 DIAGNOSTIC CYTOPATHOLOGY LABORATORY, INC. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621510
Sponsor’s telephone number 5617023569
Plan sponsor’s address 135 SAN LORENZO AVE STE 100, CORAL GABLES, FL, 33146
DIAGNOSTIC CYTOPATHOLOGY LABORATORY, INC. 401(K) PLAN 2021 650096492 2022-09-12 DIAGNOSTIC CYTOPATHOLOGY LABORATORY, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621510
Sponsor’s telephone number 5617023569
Plan sponsor’s address 135 SAN LORENZO AVE. STE 100, CORAL GABLES, FL, 33146

Signature of
Role Plan administrator
Date 2022-09-12
Name of individual signing ROBERT APORTELA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-09-12
Name of individual signing ROBERT APORTELA
Valid signature Filed with authorized/valid electronic signature
DIAGNOSTIC CYTOPATHOLOGY LABORATORY, INC. CBP 2021 650096492 2022-09-14 DIAGNOSTIC CYTOPATHOLOGY LABORATORY, INC. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621510
Sponsor’s telephone number 5617023569
Plan sponsor’s address 135 SAN LORENZO AVE STE 100, CORAL GABLES, FL, 33146
DIAGNOSTIC CYTOPATHOLOGY LABORATORY, INC. CBP 2020 650096492 2021-05-17 DIAGNOSTIC CYTOPATHOLOGY LABORATORY, INC. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621510
Sponsor’s telephone number 5617023569
Plan sponsor’s address 135 SAN LORENZO AVE STE 100, CORAL GABLES, FL, 33146
DIAGNOSTIC CYTOPATHOLOGY LABORATORY, INC. 401(K) PLAN 2020 650096492 2021-10-08 DIAGNOSTIC CYTOPATHOLOGY LABORATORY, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621510
Sponsor’s telephone number 5617023569
Plan sponsor’s address 135 SAN LORENZO AVE. STE 100, CORAL GABLES, FL, 33146

Signature of
Role Plan administrator
Date 2021-10-08
Name of individual signing ROBERT APORTELA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-08
Name of individual signing ROBERT APORTELA
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Howley Peter Agent 4800 N FEDERAL HWY, BOCA RATON, FL, 334315178

Director

Name Role Address
SANTAELLA IDALIA Director 17792 FIELDBROOK CIR WEST, BOCA RATON, FL, 334961568

President

Name Role Address
SANTAELLA IDALIA President 17792 FIELDBROOK CIR WEST, BOCA RATON, FL, 334961568

Vice President

Name Role Address
APORTELA ROBERT M Vice President 17792 FIELDBROOK CIRCLE WEST, BOCA RATON, FL, 334961568

Treasurer

Name Role Address
APORTELA ARLEEN Treasurer 17792 FIELDBROOK CIRCLE WEST, BOCA RATON, FL, 334961568

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G13000125439 FINE NEEDLE ASPIRATION CLINIC EXPIRED 2013-12-20 2018-12-31 No data 17792 FIELDBROOK CIRCLE WEST, BOCA RATON, FL, 33496-1568

Events

Event Type Filed Date Value Description
CANCEL ADM DISS/REV 2010-03-22 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2009-09-25 No data No data
AMENDMENT 2009-04-01 No data No data
NAME CHANGE AMENDMENT 1991-08-08 DIAGNOSTIC CYTOPATHOLOGY LABORATORY, INC. No data

Related by officers

Howley Peter

PROFESSIONAL TRUST ACCOUNTING, INC.

Related by address

17792 FIELDBROOK CIRCLE WEST, BOCA RATON, FL, 33496-1568, US

RJIAA INVESTMENTS LIMITED LIABILITY LIMITED PARTNERSHIP IDALIA M SANTAELLA MD LLC

Date of last update: 02 Jan 2025

Sources: Florida Department of State

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