| Entity Name: | SOUTHEAST MEDICAL LAB, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 13 Nov 2000 (24 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | P00000105713 |
| FEI/EIN Number | 651055068 |
| Address: | 6920 N.W. 72ND AVENUE, MIAMI, FL, 33166, US |
| Mail Address: | 6920 NW 72 AVENUE, MIAMI, FL, 33166, US |
| ZIP code: | 33166 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1417909433 | 2006-05-17 | 2012-11-26 | 6920 NW 72ND AVE, MIAMI, FL, 331663036, US | 6920 NW 72ND AVE, MIAMI, FL, 331663036, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 305-805-3748 |
| Fax | 3058053749 |
Authorized person
| Name | MR. MANUEL HERNANDEZ |
| Role | PRESIDENT |
| Phone | 3058053748 |
Taxonomy
| Taxonomy Code | 291U00000X - Clinical Medical Laboratory |
| License Number | 800016264 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Ana Tapia | Agent | 6920 N.W. 72ND AVENUE, MIAMI, FL, 33166 |
| Name | Role | Address |
|---|---|---|
| TAPIA ANA | President | 4935 EAST 1ST COURT, HIALEAH, FL, 33013 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| AMENDMENT | 2017-03-06 | No data | No data |
| AMENDMENT | 2016-12-15 | No data | No data |
| AMENDMENT | 2016-11-16 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2015-09-01 | Ana, Tapia | No data |
| REINSTATEMENT | 2014-12-15 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-12-15 | 6920 N.W. 72ND AVENUE, MIAMI, FL 33166 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| AMENDMENT | 2014-09-12 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2009-01-16 | 6920 N.W. 72ND AVENUE, MIAMI, FL 33166 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J16000240287 | TERMINATED | 1000000710089 | DADE | 2016-04-04 | 2026-04-06 | $ 4,048.31 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI SERVICE CENTER, 8175 NW 12TH ST STE 119, DORAL FL331261828 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-04-29 |
| Amendment | 2017-03-06 |
| Amendment | 2016-12-15 |
| Amendment | 2016-11-16 |
| ANNUAL REPORT | 2016-03-15 |
| AMENDED ANNUAL REPORT | 2015-09-01 |
| ANNUAL REPORT | 2015-04-28 |
| REINSTATEMENT | 2014-12-15 |
| Amendment | 2014-09-12 |
| Off/Dir Resignation | 2014-06-11 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
