| Entity Name: | BIOHEALTH MEDICAL LABORATORY INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 27 Feb 2004 (21 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 12 Oct 2021 (3 years ago) |
| Document Number: | P04000038539 |
| FEI/EIN Number | 450536376 |
| Address: | 400 S Australian Ave, Suite 800, West Palm Beach, FL, 33401, US |
| Mail Address: | 400 S Australian Ave, Suite 800, West Palm Beach, FL, 33401, US |
| ZIP code: | 33401 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1629176466 | 2006-09-20 | 2016-05-16 | 3399 NW 72ND AVE, SUITE #222, MIAMI, FL, 331221349, US | 3399 NW 72ND AVE, SUITE #222, MIAMI, FL, 331221349, US | |||||||||||||||||||||||||||||
|
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| Phone | +1 305-436-1413 |
| Fax | 3054361447 |
Authorized person
| Name | SRI BHARAT MADIREDDY |
| Role | C.E.O. |
| Phone | 5612494317 |
Taxonomy
| Taxonomy Code | 291U00000X - Clinical Medical Laboratory |
| License Number | 800019628 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | CLIA ID NUMBER |
| Number | 10D1029258 |
| State | FL |
| Issuer | MEDICARE PTAN |
| Number | E9160 |
| Name | Role |
|---|---|
| CORPORATION COMPANY OF MIAMI | Agent |
| Name | Role | Address |
|---|---|---|
| LAGAN SEAMUS | President | 400 S Australian Ave, West Palm Beach, FL, 33401 |
| Name | Role | Address |
|---|---|---|
| LAGAN SEAMUS | Secretary | 400 S Australian Ave, West Palm Beach, FL, 33401 |
| Dymond Kristine | Secretary | 400 S Australian Ave, West Palm Beach, FL, 33401 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2023-04-25 | 400 S Australian Ave, Suite 800, West Palm Beach, FL 33401 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-25 | 400 S Australian Ave, Suite 800, West Palm Beach, FL 33401 | No data |
| REINSTATEMENT | 2021-10-12 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| REINSTATEMENT | 2019-10-17 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-04-28 | 200 S BISCAYNE BLVD, SUITE 4100 (JTC), MIAMI, FL 33131 | No data |
| REGISTERED AGENT NAME CHANGED | 2017-04-28 | CORPORATION COMPANY OF MIAMI | No data |
| AMENDMENT | 2011-11-16 | No data | No data |
| AMENDMENT | 2011-02-04 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J17000056194 | LAPSED | 12-163-D5 | LEON | 2016-12-14 | 2022-01-27 | $2,918.86 | DFS DIVISION OF WORKERS COMPENSATION, 200 EAST GAINES STREET, TALLAHASSEE, FL 32399-4228 |
| J15001082631 | TERMINATED | 1000000698545 | MIAMI-DADE | 2015-10-30 | 2025-12-04 | $ 5,802.93 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI SERVICE CENTER, 8175 NW 12TH ST STE 119, DORAL FL331261828 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-01 |
| ANNUAL REPORT | 2023-04-25 |
| ANNUAL REPORT | 2022-03-15 |
| REINSTATEMENT | 2021-10-12 |
| ANNUAL REPORT | 2020-07-20 |
| REINSTATEMENT | 2019-10-17 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-04-28 |
| ANNUAL REPORT | 2016-03-31 |
| ANNUAL REPORT | 2015-04-21 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
