| Entity Name: | AMEERAH LABS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 26 Jun 2019 (6 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 30 Nov 2021 (3 years ago) |
| Document Number: | L19000159882 |
| FEI/EIN Number | 84-2238139 |
| Address: | 1898 SE Port St Lucie Blvd, Port St Lucie, FL, 34952, US |
| Mail Address: | 1898 SE Port St Lucie Blvd, Port St Lucie, FL, 34952, US |
| ZIP code: | 34952 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1588226187 | 2019-07-03 | 2022-05-26 | 201 SW 16TH ST STE 1, OKEECHOBEE, FL, 349746117, US | 201 SW 16TH ST STE 1, OKEECHOBEE, FL, 349746117, US | |||||||||||||||||||||
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| Phone | +1 863-623-4697 |
| Phone | +1 863-610-2060 |
Authorized person
| Name | KARA VELAZQUEZ |
| Role | OWNER |
| Phone | 7723236485 |
Taxonomy
| Taxonomy Code | 291U00000X - Clinical Medical Laboratory |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 107657100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| VELAZQUEZ KARA M | Agent | 1898 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL, 34952 |
| Name | Role | Address |
|---|---|---|
| VELAZQUEZ KARA M | Manager | 660 NW SHARPE ST, PORT ST LUCIE, FL, 34953 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-26 | 1898 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34952 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-18 | 1898 SE Port St Lucie Blvd, Port St Lucie, FL 34952 | No data |
| CHANGE OF MAILING ADDRESS | 2024-01-18 | 1898 SE Port St Lucie Blvd, Port St Lucie, FL 34952 | No data |
| LC AMENDMENT | 2021-11-30 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2021-11-30 | VELAZQUEZ, KARA M | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-26 |
| ANNUAL REPORT | 2023-04-30 |
| ANNUAL REPORT | 2022-03-07 |
| LC Amendment | 2021-11-30 |
| ANNUAL REPORT | 2021-01-08 |
| ANNUAL REPORT | 2020-01-19 |
| Florida Limited Liability | 2019-06-26 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
