| Entity Name: | THE LABORATORY GROUP OF NORTHWEST FLORIDA, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
THE LABORATORY GROUP OF NORTHWEST FLORIDA, PLLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 19 Apr 2009 (16 years ago) |
| Date of dissolution: | 23 Sep 2016 (9 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (9 years ago) |
| Document Number: | L09000037700 |
| FEI/EIN Number |
611595918
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 4724 NORTH DAVIS HWY, 2ND FLOOR, PENSACOLA, FL, 32503 |
| Mail Address: | 4724 NORTH DAVIS HWY, 2ND FLOOR, PENSACOLA, FL, 32503 |
| ZIP code: | 32503 |
| County: | Escambia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366674004 | 2009-08-13 | 2010-08-11 | 4724 N DAVIS HWY, 2ND FLOOR, PENSACOLA, FL, 325032339, US | 4724 N DAVIS HWY, 2ND FLOOR, PENSACOLA, FL, 325032339, US | |||||||||||||||||||||
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| Phone | +1 850-438-1154 |
| Fax | 8504336034 |
Authorized person
| Name | NORTH JOSEPH DAVIS |
| Role | LABORATORY DIRECTOR |
| Phone | 8504381154 |
Taxonomy
| Taxonomy Code | 291U00000X - Clinical Medical Laboratory |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 001697200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DAVIS NORTH J | President | 4724 NORTH DAVIS HWY 2ND FLOOR, PENSACOLA, FL, 32503 |
| DAVIS NORTH J | Treasurer | 4724 NORTH DAVIS HWY 2ND FLOOR, PENSACOLA, FL, 32503 |
| CANDELA ANDRES M | Vice President | 4724 NORTH DAVIS 2ND FLOOR, PENSACOLA, FL, 32503 |
| CANDELA ANDRES M | Secretary | 4724 NORTH DAVIS 2ND FLOOR, PENSACOLA, FL, 32503 |
| DAVIS NORTH J | Agent | 4724 NORTH DAVIS HWY, PENSACOLA, FL, 32503 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G12000074641 | QUANTUM LABORATORY SERVICES | EXPIRED | 2012-07-27 | 2017-12-31 | - | 4724 NORTH DAVIS HIGHWAY, 2ND FLOOR, PENSACOLA, FL, 32503 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | - | - |
| REGISTERED AGENT NAME CHANGED | 2010-11-23 | DAVIS, NORTH JM.D. | - |
| CHANGE OF PRINCIPAL ADDRESS | 2010-01-29 | 4724 NORTH DAVIS HWY, 2ND FLOOR, PENSACOLA, FL 32503 | - |
| CHANGE OF MAILING ADDRESS | 2010-01-29 | 4724 NORTH DAVIS HWY, 2ND FLOOR, PENSACOLA, FL 32503 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2010-01-29 | 4724 NORTH DAVIS HWY, 2ND FLOOR, PENSACOLA, FL 32503 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2015-02-05 |
| ANNUAL REPORT | 2014-02-06 |
| ANNUAL REPORT | 2013-02-28 |
| ANNUAL REPORT | 2012-03-05 |
| ANNUAL REPORT | 2011-02-21 |
| Reg. Agent Change | 2010-11-23 |
| ANNUAL REPORT | 2010-01-29 |
| Florida Limited Liability | 2009-04-19 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
