| Entity Name: | SOUTHERN MEDICAL LABORATORIES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 02 Aug 2017 (8 years ago) |
| Document Number: | L17000164824 |
| FEI/EIN Number | 82-2358700 |
| Address: | 2328 10TH AVENUE N, STE 203, LAKE WORTH, FL 33461 |
| Mail Address: | 2328 10TH AVENUE N, STE 203, LAKE WORTH, FL 33461 |
| ZIP code: | 33461 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942713623 | 2017-11-16 | 2019-11-02 | 2328 10TH AVE N STE 203, LAKE WORTH, FL, 334616612, US | 2328 10TH AVE N STE 203, LAKE WORTH, FL, 334616612, US | |||||||||||||||
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| Phone | +1 561-247-1838 |
| Fax | 5615166344 |
Authorized person
| Name | MR. IAN CHARLES GROPPER |
| Role | CEO |
| Phone | 5612518700 |
Taxonomy
| Taxonomy Code | 291U00000X - Clinical Medical Laboratory |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GROPPER, IAN C | Agent | 10948 SW Vasari Way, Port Saint Lucie, FL 34987 |
| Name | Role | Address |
|---|---|---|
| GROPPER, IAN C | Manager | 10948 Sw Vasari Way, Port Saint Lucie, FL 34987 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000021300 | SOUTHERN MEDICAL LABORATORIES, LLC | EXPIRED | 2018-02-08 | 2023-12-31 | No data | 701 NORTHPOINT PARKWAY, SUITE 330A, WEST PALM BEACH, FL, 33407 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-03 | 10948 SW Vasari Way, Port Saint Lucie, FL 34987 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-08-27 | 2328 10TH AVENUE N, STE 203, LAKE WORTH, FL 33461 | No data |
| CHANGE OF MAILING ADDRESS | 2019-08-27 | 2328 10TH AVENUE N, STE 203, LAKE WORTH, FL 33461 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-24 |
| ANNUAL REPORT | 2023-02-03 |
| ANNUAL REPORT | 2022-03-07 |
| ANNUAL REPORT | 2021-07-26 |
| ANNUAL REPORT | 2020-06-30 |
| ANNUAL REPORT | 2019-03-04 |
| ANNUAL REPORT | 2018-03-30 |
| Florida Limited Liability | 2017-08-02 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1909007404 | 2020-05-05 | 0455 | PPP | 2328 10th Ave N Ste 203, LAKE WORTH, FL, 33461 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 2552198510 | 2021-02-20 | 0455 | PPS | 2328 10th Ave N Ste 203, Lake Worth, FL, 33461-6612 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 18 Feb 2025
Sources: Florida Department of State
