| Entity Name: | BLUE ANGEL DIAGNOSTIC LAB LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 15 Mar 2022 (3 years ago) |
| Document Number: | L22000130619 |
| FEI/EIN Number | 88-1543571 |
| Address: | 2300 W SAMPLE RD, SUITE 212, POMPANO BEACH, FL, 33073 |
| Mail Address: | 6662 SCHOONER TER, MARGATE, FL, 33063, UN |
| ZIP code: | 33073 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1477325108 | 2023-10-25 | 2023-10-25 | 6662 SCHOONER TER, MARGATE, FL, 330638326, US | 2300 W SAMPLE RD STE 212, POMPANO BEACH, FL, 330733048, US | |||||||||||||
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| Phone | +1 954-778-4344 |
Authorized person
| Name | DANNA EDMOND-VOLMAR |
| Role | OWNER/ADMINISTRATOR |
| Phone | 9547784344 |
Taxonomy
| Taxonomy Code | 291U00000X - Clinical Medical Laboratory |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| EDMOND-VOLMAR DANNA | Agent | 2300 W SAMPLE RD, POMPANO BEACH, FL, 33073 |
| Name | Role | Address |
|---|---|---|
| EDMOND-VOLMAR DANNA | Manager | 2300 W SAMPLE RD, SUITE 212, POMPANO BEACH, FL, 33073 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-01 |
| ANNUAL REPORT | 2023-04-29 |
| Florida Limited Liability | 2022-03-15 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
