| Entity Name: | NEXGEN LAB, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 28 Oct 2015 (9 years ago) |
| Date of dissolution: | 31 Dec 2018 (6 years ago) |
| Last Event: | WITHDRAWAL |
| Event Date Filed: | 31 Dec 2018 (6 years ago) |
| Document Number: | M15000008659 |
| FEI/EIN Number | 384012183 |
| Address: | 11350 SW VILLAGE PARKWAY, PORT ST. LUCIE, FL, 34987, US |
| ZIP code: | 34987 |
| County: | St. Lucie |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467817999 | 2015-12-29 | 2015-12-29 | 7999 N FEDERAL HWY, 429, BOCA RATON, FL, 334871682, US | 11350 SW VILLAGE PKWY, PORT ST LUCIE, FL, 349872352, US | |||||||||||||||
|
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| Phone | +1 267-592-0542 |
Authorized person
| Name | WILLIAM DEISSROTH |
| Role | MANAGER |
| Phone | 2675920542 |
Taxonomy
| Taxonomy Code | 291U00000X - Clinical Medical Laboratory |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FLORIDA HEALTHCARE LAW FIRM | Agent | 909 SE 5TH AVE, SUITE 200, DELRAY BEACH, FL, 33483 |
| Name | Role | Address |
|---|---|---|
| FLORIDA HEALTHCARE LAW FIRM | Manager | 7999 NORTH FEDERAL HWY, SUITE 429, BOCA RATON, FL, 33487 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| WITHDRAWAL | 2018-12-31 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-11-13 | 11350 SW VILLAGE PARKWAY, SUITE 328, PORT ST. LUCIE, FL 34987 | No data |
| REINSTATEMENT | 2016-11-30 | No data | No data |
| REVOKED FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Name | Date |
|---|---|
| WITHDRAWAL | 2018-12-31 |
| ANNUAL REPORT | 2018-04-27 |
| ANNUAL REPORT | 2017-01-05 |
| REINSTATEMENT | 2016-11-30 |
| Foreign Limited | 2015-10-28 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
