| Entity Name: | INDIAN RIVER PATHOLOGY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Company
INDIAN RIVER PATHOLOGY, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 05 Mar 2019 (6 years ago) |
| Last Event: | CONVERSION |
| Event Date Filed: | 05 Mar 2019 (6 years ago) |
| Document Number: | L19000072163 |
| FEI/EIN Number |
65-1120607
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 6696 S. US HWY 1, PORT SAINT LUCIE, FL 34952 |
| Mail Address: | P.O. BOX 881016, PORT SAINT LUCIE, FL 34988 |
| ZIP code: | 34952 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1477513323 | 2006-03-24 | 2019-05-28 | PO BOX 881016, PORT ST LUCIE, FL, 349881016, US | 6696 S US HIGHWAY 1, PORT ST LUCIE, FL, 349521423, US | |||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||
| Phone | +1 772-466-6651 |
| Fax | 7724660662 |
Authorized person
| Name | DR. ANIL DESAI |
| Role | OWNER |
| Phone | 7724666651 |
Taxonomy
| Taxonomy Code | 291U00000X - Clinical Medical Laboratory |
| License Number | ME46694 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 252482100 |
| State | FL |
| Issuer | BLUECROSS |
| Number | 41580 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DESAI, DR. ANIL G | Agent | 6696 S. US HWY 1, PORT SAINT LUCIE, FL 34952 |
| DESAI, DR. ANIL G | Manager | 6696 S. US HWY 1, PORT SAINT LUCIE, FL 34952 |
| DESAI, ANJANA | Manager | 6696 S. US HWY 1, PORT SAINT LUCIE, FL 34952 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CONVERSION | 2019-03-05 | - | CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS P01000072768. CONVERSION NUMBER 900000191239 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-09 |
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-01-19 |
| ANNUAL REPORT | 2022-02-13 |
| ANNUAL REPORT | 2021-02-01 |
| ANNUAL REPORT | 2020-03-17 |
| Florida Limited Liability | 2019-03-05 |
Date of last update: 16 Feb 2025
Sources: Florida Department of State
