| Entity Name: | PROGRESSIVE MEDICAL LAB LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 26 Feb 2014 (11 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 19 Jun 2014 (11 years ago) |
| Document Number: | L14000032701 |
| FEI/EIN Number | 46-4935918 |
| Address: | 345 BEVILLE RD, 101-A, DAYTONA BEACH, FL, 32119, US |
| Mail Address: | 345 BEVILLE RD, 101-A, DAYTONA BEACH, FL, 32119, US |
| ZIP code: | 32119 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1225432867 | 2014-10-10 | 2014-10-10 | 345 BEVILLE RD, SUITE 101, SOUTH DAYTONA, FL, 321192165, US | 1690 DUNLAWTON AVE, SUITE 120, PORT ORANGE, FL, 321278979, US | |||||||||||||||||||
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| Phone | +1 386-271-2273 |
| Fax | 3868450221 |
Authorized person
| Name | MAYADA AL HUSSAINI |
| Role | MGR |
| Phone | 3867954324 |
Taxonomy
| Taxonomy Code | 291U00000X - Clinical Medical Laboratory |
| License Number | 800027387 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HUSSAINI MAYADA AL | Agent | 345 BEVILLE ROAD, SOUTH DAYTONA, FL, 32119 |
| Name | Role | Address |
|---|---|---|
| HUSSAINI MAYADA AL | Auth | 345 BEVILLE ROAD, SOUTH DAYTONA, FL, 32119 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000040548 | ADVANCED PATHOLOGY LAB | ACTIVE | 2020-04-12 | 2025-12-31 | No data | 345 BEVILLE ROAD, SUITE 101, DAYTONA BEACH, FL, 32119 |
| G14000024461 | ADVANCED PATHOLOGY LAB | EXPIRED | 2014-03-10 | 2019-12-31 | No data | 345 BEVILLE RD, SUITE 101-A, SOUTH DAYTONA, FL, 32119 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2016-03-15 | 345 BEVILLE ROAD, 101-A, SOUTH DAYTONA, FL 32119 | No data |
| LC AMENDMENT | 2014-06-19 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2014-06-19 | HUSSAINI, MAYADA AL | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-10 |
| ANNUAL REPORT | 2023-02-12 |
| ANNUAL REPORT | 2022-04-01 |
| ANNUAL REPORT | 2021-03-22 |
| ANNUAL REPORT | 2020-06-08 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-04-28 |
| ANNUAL REPORT | 2016-03-15 |
| ANNUAL REPORT | 2015-04-20 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
