| Entity Name: | PARKS LAB SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 08 Aug 2022 (2 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | L22000349318 |
| Address: | 3801 N UNIVERSITY DRIVE, SUITE 402, SUNRISE, FL 33351 |
| Mail Address: | 3801 N UNIVERSITY DRIVE, SUITE 402, SUNRISE, FL 33351 |
| ZIP code: | 33351 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1588392633 | 2022-08-08 | 2022-08-08 | 3801 N UNIVERSITY DR STE 402, SUNRISE, FL, 333516320, US | 3801 N UNIVERSITY DR STE 402, SUNRISE, FL, 333516320, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 954-909-4309 |
Authorized person
| Name | DR. BRENDA PARKER-PARKS |
| Role | NURSE PRACTITIONER/CO-FOUNDER |
| Phone | 9549094309 |
Taxonomy
| Taxonomy Code | 291U00000X - Clinical Medical Laboratory |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPI |
| Number | 1053581199 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PARKS, BRENDA A | Agent | 3801 N UNIVERSITY DRIVE, SUITE 402, SUNRISE, FL 33351 |
| Name | Role | Address |
|---|---|---|
| PARKS, DONALD, JR. | Chief Executive Officer | 3801 N UNIVERSITY DRIVE, SUITE 402, SUNRISE, FL 33351 |
| Name | Role | Address |
|---|---|---|
| PARKS, BRENDA A | Manager | 3801 N UNIVERSITY DRIVE, SUITE 402, SUNRISE, FL 33351 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2022-08-08 |
Date of last update: 11 Jan 2025
Sources: Florida Department of State
