| Entity Name: | PGN LAB LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 27 Jul 2017 (8 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 05 Oct 2023 (a year ago) |
| Document Number: | L17000160567 |
| FEI/EIN Number | 82-3268636 |
| Address: | 7811 SW Ellipse Way, C15, Stuart, FL 34997 |
| Mail Address: | 7811 SW Ellipse Way, C15, Stuart, FL 34997 |
| ZIP code: | 34997 |
| County: | Martin |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457863391 | 2017-11-01 | 2017-11-01 | 4365 HICKORY DR, PALM BEACH GARDENS, FL, 334183905, US | 7847 SW ELLIPSE WAY, STUART, FL, 349977247, US | |||||||||||||||
|
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| Phone | +1 561-818-8054 |
Authorized person
| Name | MR. CORY BRANDON HANLON |
| Role | OWNER |
| Phone | 5618188054 |
Taxonomy
| Taxonomy Code | 291U00000X - Clinical Medical Laboratory |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Derek, Pagan | Agent | 18877 SE LOXAHATCHEE RIVER RD, JUPITER, FL 33458-1081 |
| Name | Role | Address |
|---|---|---|
| Pagan, Derek | Manager | 18877 SE LOXAHATCHEE RIVER RD, JUPITER, FL 33458-1081 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000001010 | ELLIPSE DIAGNOSTICS STUART | ACTIVE | 2021-01-04 | 2026-12-31 | No data | 7847 SW ELLIPSE WAY, STUART, FL, 34997 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-10-05 | Derek, Pagan | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-10-05 | 18877 SE LOXAHATCHEE RIVER RD, JUPITER, FL 33458-1081 | No data |
| REINSTATEMENT | 2023-10-05 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-05-01 | 7811 SW Ellipse Way, C15, Stuart, FL 34997 | No data |
| CHANGE OF MAILING ADDRESS | 2022-05-01 | 7811 SW Ellipse Way, C15, Stuart, FL 34997 | No data |
| REINSTATEMENT | 2018-11-01 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| REINSTATEMENT | 2023-10-05 |
| ANNUAL REPORT | 2022-05-01 |
| ANNUAL REPORT | 2021-04-28 |
| ANNUAL REPORT | 2020-06-30 |
| AMENDED ANNUAL REPORT | 2019-07-30 |
| ANNUAL REPORT | 2019-04-08 |
| REINSTATEMENT | 2018-11-01 |
| Florida Limited Liability | 2017-07-27 |
Date of last update: 18 Jan 2025
Sources: Florida Department of State
