| Entity Name: | DERMPATH LAB LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 28 Dec 2006 (18 years ago) |
| Date of dissolution: | 20 Sep 2018 (6 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 20 Sep 2018 (6 years ago) |
| Document Number: | L06000122737 |
| FEI/EIN Number | 208118364 |
| Address: | 1599 NW 9TH AVENUE, 4, BOCA RATON, FL, 33486, US |
| Mail Address: | 1599 NW 9TH AVENUE, 4, BOCA RATON, FL, 33486, US |
| ZIP code: | 33486 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1295879278 | 2007-02-16 | 2020-08-22 | 1599 NW 9TH AVE, SUITE 4, BOCA RATON, FL, 334861310, US | 1599 NW 9TH AVE, SUITE 4, BOCA RATON, FL, 334861310, US | |||||||||||||||||
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| Phone | +1 561-393-8578 |
| Fax | 5613938574 |
Authorized person
| Name | DR. RUSSEL SELWYN GLAUN |
| Role | MANAGER |
| Phone | 5617064843 |
Taxonomy
| Taxonomy Code | 291U00000X - Clinical Medical Laboratory |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GLAUN RUSSEL S | Agent | 1599 NW 9TH AVENUE, BOCA RATON, FL, 33486 |
| Name | Role | Address |
|---|---|---|
| GLAUN RUSSEL S | Managing Member | 1599 NW 9TH AVENUE STE 4, BOCA RATON, FL, 33486 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2018-09-20 | No data | No data |
| LC AMENDMENT | 2009-01-05 | No data | No data |
| LC AMENDMENT | 2007-05-04 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-04-30 |
| ANNUAL REPORT | 2016-04-29 |
| ANNUAL REPORT | 2015-04-29 |
| ANNUAL REPORT | 2014-04-23 |
| ANNUAL REPORT | 2013-02-11 |
| ANNUAL REPORT | 2012-04-22 |
| ANNUAL REPORT | 2011-04-22 |
| ANNUAL REPORT | 2010-04-19 |
| ANNUAL REPORT | 2009-01-09 |
| LC Amendment | 2009-01-05 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
