| Entity Name: | LIFESTREAM, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 01 Oct 2003 (21 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 25 Oct 2019 (5 years ago) |
| Document Number: | P03000107860 |
| FEI/EIN Number | 800077535 |
| Address: | 48 NW 25th Street, Miami, FL, 33127, US |
| Mail Address: | 48 NW 25th Street, suite 102, Miami, FL, 33127, US |
| ZIP code: | 33127 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1922246552 | 2009-02-04 | 2009-02-04 | 701 NW 57TH AVE, SUITE 200, MIAMI, FL, 331263275, US | 701 NW 57TH AVE, SUITE 200, MIAMI, FL, 331263275, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 305-264-2021 |
Authorized person
| Name | MR. LUIS ALEJANDRO SANCHEZ |
| Role | OWNER |
| Phone | 3052642021 |
Taxonomy
| Taxonomy Code | 261QR0208X - Mobile Radiology Clinic/Center |
| License Number | HCC6414 |
| State | FL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LIFESTREAM, INC. 401(K) P/S PLAN | 2014 | 800077535 | 2015-05-29 | LIFESTREAM, INC. | 1 | |||||||||||||||||||||||||||
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| Administrator’s EIN | 800077535 |
| Plan administrator’s name | LIFESTREAM, INC. |
| Plan administrator’s address | 2471 NW 72ND AVE, MIAMI, FL, 33122 |
Signature of
| Role | Plan administrator |
| Date | 2015-05-29 |
| Name of individual signing | CYNTHIA SANCHEZ |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| FAIVISH DOVI | Agent | 48 NW 25TH ST, Miami, FL, 33127 |
| Name | Role | Address |
|---|---|---|
| FAIVISH DOVI | President | 48 NW 25th Street, Miami, FL, 33127 |
| Name | Role | Address |
|---|---|---|
| FAIVISH DOVI | Chief Executive Officer | 48 NW 25th Street, Miami, FL, 33127 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G13000061197 | LIFESTREAM MOBILE DIAGNOSTIC | EXPIRED | 2013-06-18 | 2018-12-31 | No data | 8300 S.W. 8 STREET, SUITE 105, MIAMI, FL, 33144 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2022-10-26 | 48 NW 25th Street, 102, Miami, FL 33127 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-10-26 | 48 NW 25TH ST, Suite 102, Miami, FL 33127 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-10-26 | FAIVISH, DOVI | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-10-26 | 48 NW 25th Street, 102, Miami, FL 33127 | No data |
| REINSTATEMENT | 2019-10-25 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| REINSTATEMENT | 2018-10-29 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| REINSTATEMENT | 2016-09-26 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J23000212001 | TERMINATED | 1000000951870 | DADE | 2023-05-04 | 2033-05-10 | $ 965.81 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI SERVICE CENTER, 8175 NW 12TH ST STE 119, DORAL FL331261828 |
| J20000363610 | TERMINATED | 1000000866943 | DADE | 2020-11-03 | 2030-11-12 | $ 736.36 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI SERVICE CENTER, 8175 NW 12TH ST STE 119, DORAL FL331261828 |
| J20000153482 | TERMINATED | 1000000863096 | DADE | 2020-03-05 | 2030-03-11 | $ 761.26 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI SERVICE CENTER, 8175 NW 12TH ST STE 119, DORAL FL331261828 |
| J19000681542 | TERMINATED | 1000000843261 | MIAMI-DADE | 2019-10-10 | 2029-10-16 | $ 863.53 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI SERVICE CENTER, 8175 NW 12TH ST STE 119, DORAL FL331261828 |
| J11000030374 | TERMINATED | 1000000200079 | DADE | 2011-01-11 | 2021-01-19 | $ 2,447.66 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI SOUTH SERVICE CENTER, 8175 NW 12TH ST STE 418, MIAMI FL331261828 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-06 |
| ANNUAL REPORT | 2023-04-24 |
| AMENDED ANNUAL REPORT | 2022-10-26 |
| ANNUAL REPORT | 2022-06-29 |
| ANNUAL REPORT | 2021-07-28 |
| ANNUAL REPORT | 2020-07-22 |
| REINSTATEMENT | 2019-10-25 |
| REINSTATEMENT | 2018-10-29 |
| ANNUAL REPORT | 2017-08-23 |
| REINSTATEMENT | 2016-09-26 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
