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SOUTH FLORIDA LABORATORY, LLC.

Company Details

Entity Name: SOUTH FLORIDA LABORATORY, LLC.
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Inactive
Date Filed: 21 Oct 2011 (13 years ago)
Date of dissolution: 18 Jan 2019 (6 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 18 Jan 2019 (6 years ago)
Document Number: L11000120577
FEI/EIN Number 45-4379158
Address: 3395 LAKE WORTH ROAD,, #1, PALM SPRINGS, FL 33461
Mail Address: 3395 LAKE WORTH ROAD,, #1, PALM SPRINGS, FL 33461
ZIP code: 33461
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1679829204 2012-08-01 2012-08-01 PO BOX 904107, CHARLOTTE, NC, 282904107, US 3395 LAKEWORTH RD, SUITE 1, LAKE WORTH, FL, 33463, US

Contacts

Phone +1 954-889-0335
Fax 3055544828

Authorized person

Name MARC TANNER
Role CEO
Phone 9548890335

Taxonomy

Taxonomy Code 291U00000X - Clinical Medical Laboratory
License Number 800026470
State FL
Is Primary Yes

Agent

Name Role Address
TANNER, MARC L Agent 2564 NE 26TH AVE, FORT LAUDERDALE, FL 33305

Manager

Name Role Address
TANNER, MARC Manager 2564 NE 26TH AVE, FORT LAUDERDALE, FL 33305

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2019-01-18 No data No data
LC DISSOCIATION MEM 2016-07-22 No data No data
CHANGE OF MAILING ADDRESS 2016-05-05 3395 LAKE WORTH ROAD,, #1, PALM SPRINGS, FL 33461 No data
CHANGE OF PRINCIPAL ADDRESS 2012-03-29 3395 LAKE WORTH ROAD,, #1, PALM SPRINGS, FL 33461 No data
REGISTERED AGENT NAME CHANGED 2012-03-29 TANNER, MARC L No data
REGISTERED AGENT ADDRESS CHANGED 2012-03-29 2564 NE 26TH AVE, FORT LAUDERDALE, FL 33305 No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2019-01-18
ANNUAL REPORT 2018-04-30
ANNUAL REPORT 2017-01-11
CORLCDSMEM 2016-07-22
ANNUAL REPORT 2016-03-28
ANNUAL REPORT 2015-01-12
ANNUAL REPORT 2014-01-09
ANNUAL REPORT 2013-04-25
ANNUAL REPORT 2012-03-29
Florida Limited Liability 2011-10-21

Date of last update: 24 Jan 2025

Sources: Florida Department of State