| Entity Name: | STATLAB MOBILE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 24 Jul 2014 (11 years ago) |
| Date of dissolution: | 05 Jun 2023 (2 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 05 Jun 2023 (2 years ago) |
| Document Number: | L14000116717 |
| FEI/EIN Number | 27-5359883 |
| Address: | 7210 NW 25 Street, Miami, FL, 33122, US |
| Mail Address: | 7210 NW 25 Street, Miami, FL, 33122, US |
| ZIP code: | 33122 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1952730764 | 2013-11-03 | 2017-05-10 | 19101 SW 108TH AVE UNIT 4, CUTLER BAY, FL, 331576783, US | 19101 SW 108TH AVE UNIT 4, CUTLER BAY, FL, 331576783, US | |||||||||||||||||||
|
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| Phone | +1 844-469-5227 |
Authorized person
| Name | MR. CHEVERAL DEACON |
| Role | PRESIDENT |
| Phone | 3054913809 |
Taxonomy
| Taxonomy Code | 291U00000X - Clinical Medical Laboratory |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 016241900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Deacon Cheveral | Agent | 7210 NW 25TH ST, MIAMI, FL, 33122 |
| Name | Role | Address |
|---|---|---|
| Deacon Cheveral | Auth | 7210 NW 25th St,, MIAMI, FL, 33122 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2023-06-05 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2022-04-19 | Deacon, Cheveral | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-19 | 7210 NW 25TH ST, MIAMI, FL 33122 | No data |
| LC STMNT OF RA/RO CHG | 2021-11-12 | No data | No data |
| LC STMNT OF RA/RO CHG | 2020-12-07 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-11-19 | 7210 NW 25 Street, Miami, FL 33122 | No data |
| CHANGE OF MAILING ADDRESS | 2020-11-19 | 7210 NW 25 Street, Miami, FL 33122 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J24000009819 | ACTIVE | 2022-019069-CA-01 | MIAMI-DADE | 2023-12-01 | 2029-01-04 | $939,519.68 | BRYAN WILSON, 1640 CHEYENNE TRAIL, MAITLAND, FLORIDA 32751 |
| J23000316208 | ACTIVE | 2:22-CV-04912-EP-CLW | US DIST. CT., DISTRICT OF NJ | 2022-10-28 | 2028-07-13 | $564527.33 | BIOREFERENCE HEALTH, LLC, 481 EDWARD H. ROSS DR., ELMWOOD PARK, NJ 07407-3128 |
| J19000219921 | LAPSED | 2018-018207-CC-23 | MIAMI-DADE COUNTY COURT | 2019-02-01 | 2024-03-26 | $7,125.98 | HENRY SCHEIN, INC., 135 DURYEA RD., MELVILLE, NY 11747 |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2023-06-05 |
| ANNUAL REPORT | 2023-05-01 |
| AMENDED ANNUAL REPORT | 2022-04-19 |
| ANNUAL REPORT | 2022-03-03 |
| CORLCRACHG | 2021-11-12 |
| ANNUAL REPORT | 2021-04-27 |
| CORLCRACHG | 2020-12-07 |
| ANNUAL REPORT | 2020-03-30 |
| ANNUAL REPORT | 2019-02-13 |
| ANNUAL REPORT | 2018-01-16 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
