| Entity Name: | WEST BROWARD CLINICAL LABORATORY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 28 Jun 2004 (21 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | L04000048507 |
| FEI/EIN Number | 260096441 |
| Address: | 4850 WEST OAKLAND PARK BLVD.,, SUITE 145, FORT LAUDERDALE, FL, 33313 |
| Mail Address: | 4850 WEST OAKLAND PARK BLVD.,, SUITE 145, FORT LAUDERDALE, FL, 33313 |
| ZIP code: | 33313 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013083468 | 2006-11-28 | 2020-08-22 | 4850 W OAKLAND PARK BLVD, SUITE 203, LAUDERDALE LAKES, FL, 333137260, US | 4850 W OAKLAND PARK BLVD, SUITE 203, LAUDERDALE LAKES, FL, 333137260, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 954-739-3030 |
| Fax | 9547396010 |
Authorized person
| Name | MR. EDWARD A. DAUER |
| Role | PRESIDENT |
| Phone | 9547390978 |
Taxonomy
| Taxonomy Code | 291U00000X - Clinical Medical Laboratory |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HART BRIAN A | Agent | 201 South Biscayne Boulevard, MIAMI, FL, 33131 |
| Name | Role | Address |
|---|---|---|
| DAUER EDWARD ADr. | Managing Member | 4850 W OAKLAND PARK BLVD, SUITE #145, FORT LAUDERDALE, FL, 33313 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-02-27 | 201 South Biscayne Boulevard, 22nd Floor, Miami Center, MIAMI, FL 33131 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-03-19 | 4850 WEST OAKLAND PARK BLVD.,, SUITE 145, FORT LAUDERDALE, FL 33313 | No data |
| CHANGE OF MAILING ADDRESS | 2009-03-19 | 4850 WEST OAKLAND PARK BLVD.,, SUITE 145, FORT LAUDERDALE, FL 33313 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-04-25 |
| ANNUAL REPORT | 2016-03-04 |
| ANNUAL REPORT | 2015-04-02 |
| ANNUAL REPORT | 2014-02-27 |
| ANNUAL REPORT | 2013-03-22 |
| ANNUAL REPORT | 2012-04-10 |
| ANNUAL REPORT | 2011-03-24 |
| ANNUAL REPORT | 2010-03-19 |
| ANNUAL REPORT | 2009-03-19 |
| ANNUAL REPORT | 2008-03-17 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
