| Entity Name: | ALLIANCE STAT LABS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 28 Oct 2021 (3 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 17 Feb 2023 (2 years ago) |
| Document Number: | L21000468326 |
| FEI/EIN Number | 87-3339626 |
| Address: | 5305 S DIXIE HWY, WEST PALM BEACH, FL 33405 |
| Mail Address: | 5305 S DIXIE HWY, WEST PALM BEACH, FL 33405 |
| ZIP code: | 33405 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1417618315 | 2022-01-04 | 2022-01-04 | 5303 S DIXIE HWY, WEST PALM BEACH, FL, 334053230, US | 5303 S DIXIE HWY, WEST PALM BEACH, FL, 334053230, US | |||||||||||||||
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| Phone | +1 800-471-0846 |
| Fax | 5125320923 |
Authorized person
| Name | TYLER PENROD |
| Role | BILLER |
| Phone | 3059004715 |
Taxonomy
| Taxonomy Code | 291U00000X - Clinical Medical Laboratory |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GPG Law | Agent | 1326 SE 3RD AVENUE, Fort Lauderdale, FL 33316 |
| Name | Role | Address |
|---|---|---|
| Harwood, Christopher | Manager | NE 62nd Street, #416 Fort Lauderdale, FL 33334 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-04-15 | GPG Law | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-15 | 1326 SE 3RD AVENUE, Fort Lauderdale, FL 33316 | No data |
| REINSTATEMENT | 2023-02-17 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-15 |
| AMENDED ANNUAL REPORT | 2023-09-05 |
| REINSTATEMENT | 2023-02-17 |
| Florida Limited Liability | 2021-10-28 |
Date of last update: 13 Jan 2025
Sources: Florida Department of State
