Entity Name: | MAYS LANDING DIAGNOSTICS LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Inactive |
Date Filed: | 06 Mar 2019 (6 years ago) |
Date of dissolution: | 25 Sep 2020 (4 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 25 Sep 2020 (4 years ago) |
Document Number: | L19000063910 |
Address: | 823 SE OSCEOLA STREET, SUITE 4, STUART, FL, 34994 |
Mail Address: | 823 SE OSCEOLA STREET, SUITE 4, STUART, FL, 34994 |
ZIP code: | 34994 |
County: | Martin |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1104389766 | 2019-04-10 | 2019-04-12 | PO BOX 721, MONTGOMERYVILLE, PA, 189360721, US | 823 SE OSCEOLA ST STE 4, STUART, FL, 349942431, US | |||||||||||||||||||||||||
|
Phone | +1 772-210-4338 |
Authorized person
Name | JAMES D BEVELL JR. |
Role | OWNER |
Phone | 7722104338 |
Taxonomy
Taxonomy Code | 291U00000X - Clinical Medical Laboratory |
Is Primary | Yes |
Other Provider Identifiers
Issuer | COLA |
Number | 29448 |
State | FL |
Issuer | CLIA |
Number | 10D2164233 |
State | FL |
Name | Role | Address |
---|---|---|
BEVELL JAMES DJR | Agent | 823 SE OSCEOLA STREET, SUITE 4, STUART, FL, 34994 |
Name | Role | Address |
---|---|---|
BEVELL JAMES DJR. | Manager | 823 SE OSCEOLA STREET, SUITE 4, STUART, FL, 34994 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
Name | Date |
---|---|
Florida Limited Liability | 2019-03-06 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State