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COASTAL LABORATORY, LLC - Florida Company Profile

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Company Details

Entity Name: COASTAL LABORATORY, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 16 May 2014 (11 years ago)
Date of dissolution: 27 Sep 2019 (6 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 27 Sep 2019 (6 years ago)
Document Number: L14000080024
FEI/EIN Number 46-5699763
Mail Address: 1645 Palm Beach Lakes Blvd, West Palm Beach, FL, 33401, US
Address: 1645 Palm Beach Lakes Blvd, Suite 1010, West Palm Beach, FL, 33401, US
ZIP code: 33401
City: West Palm Beach
County: Palm Beach
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
SIVYER BARLOW & WATSON, P.A. Agent 401 E. Jackson St., Tampa, FL, 33602
Carbone Julie Authorized Representative 1645 Palm Beach Lakes Blvd, West Palm Beach, FL, 33401
Devaleix Louis C Manager 1645 Palm Beach Lakes Blvd, West Palm Beach, FL, 33401

National Provider Identifier

NPI Number:
1013324664

Authorized Person:

Name:
TOM STANLEY
Role:
MANAGING MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
291U00000X - Clinical Medical Laboratory
Is Primary:
Yes

Contacts:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G14000094087 COASTAL LABS EXPIRED 2014-09-15 2019-12-31 - 1509 PROSPERITY FARMS ROAD, LAKE PARK, FL, 33403
G14000094091 COASTAL LABORATORIES EXPIRED 2014-09-15 2019-12-31 - 1509 PROSPERITY FARMS ROAD, LAKE PARK, FL, 33403

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2019-09-27 - -
CHANGE OF PRINCIPAL ADDRESS 2018-05-01 1645 Palm Beach Lakes Blvd, Suite 1010, West Palm Beach, FL 33401 -
CHANGE OF MAILING ADDRESS 2017-03-01 1645 Palm Beach Lakes Blvd, Suite 1010, West Palm Beach, FL 33401 -
REGISTERED AGENT ADDRESS CHANGED 2017-03-01 401 E. Jackson St., 2225, Tampa, FL 33602 -
LC AMENDMENT 2015-04-01 - -
LC AMENDMENT 2014-09-10 - -

Documents

Name Date
Reg. Agent Resignation 2019-11-12
ANNUAL REPORT 2018-05-01
ANNUAL REPORT 2017-03-01
ANNUAL REPORT 2016-04-27
LC Amendment 2015-04-01
ANNUAL REPORT 2015-02-12
LC Amendment 2014-09-10
Florida Limited Liability 2014-05-16

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Date of last update: 02 Aug 2025

Sources: Florida Department of State