| Entity Name: | FORTIS LAB MANAGEMENT, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 22 Jun 2015 (10 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | REVOKED FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | M15000004943 |
| FEI/EIN Number | 47-3801729 |
| Address: | 15210 N SCOTTDALE RD STE 210, SCOTTSDALE, AZ 85254 |
| Mail Address: | 4971 Van Dyke Rd., Lutz, FL 33558 |
| Place of Formation: | ARIZONA |
| Name | Role | Address |
|---|---|---|
| MUSCA, DANIEL G, ESQ | Agent | 13139 W LINEBAUGH AVE STE 101, TAMPA, FL 33626 |
| Name | Role | Address |
|---|---|---|
| ENG, WILLIAM, MD | Manager | 4969 VAN DYKE RD, LUTZ, FL 33558 |
| Name | Role | Address |
|---|---|---|
| DeStefano, Frank | Authorized Member | 4971 Van Dyke Rd., Lutz, FL 33558 |
| Long, Brad | Authorized Member | 4971 Van Dyke Rd., Lutz, FL 33558 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G15000076134 | FORTIS LAB | EXPIRED | 2015-07-22 | 2020-12-31 | No data | 4969 VAN DYKE RD, LUTZ, FL, 33558 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REVOKED FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2017-04-06 | 15210 N SCOTTDALE RD STE 210, SCOTTSDALE, AZ 85254 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-04-06 |
| ANNUAL REPORT | 2016-04-28 |
| Foreign Limited | 2015-06-22 |
Date of last update: 20 Jan 2025
Sources: Florida Department of State
