| Entity Name: | UNITED LABORATORY SERVICE CORP |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 14 Feb 2005 (20 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 26 Nov 2007 (17 years ago) |
| Document Number: | P05000023608 |
| FEI/EIN Number | 56-2500960 |
| Address: | 7095 SW 47 STREET, BUILDING B, MIAMI, FL, 33155, US |
| Mail Address: | 7095 SW 47 STREET, BUILDING B, MIAMI, FL, 33155, US |
| ZIP code: | 33155 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1548279227 | 2006-08-05 | 2024-07-15 | 7095 SW 47 STREET, STE B, MIAMI, FL, 33155, US | 7095 SW 47TH ST BLDG B, MIAMI, FL, 331554653, US | |||||||||||||||||||||||||
|
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| Phone | +1 305-269-0121 |
| Fax | 3052694941 |
Authorized person
| Name | IDALMA M HAIDAR |
| Role | PRESIDENT |
| Phone | 3052690121 |
Taxonomy
| Taxonomy Code | 291U00000X - Clinical Medical Laboratory |
| License Number | 800020757 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 032188500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HAIDAR IDALMA M | Agent | 7095 SW 47 STREET, MIAMI, FL, 33155 |
| Name | Role | Address |
|---|---|---|
| HAIDAR IDALMA M | President | 7095 SW 47 STREET, MIAMI, FL, 33155 |
| Name | Role | Address |
|---|---|---|
| HAIDAR IDALMA M | Vice President | 7095 SW 47 STREET, MIAMI, FL, 33155 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2015-10-01 | 7095 SW 47 STREET, BUILDING B, MIAMI, FL 33155 | No data |
| CHANGE OF MAILING ADDRESS | 2015-10-01 | 7095 SW 47 STREET, BUILDING B, MIAMI, FL 33155 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-10-01 | 7095 SW 47 STREET, BUILDING B, MIAMI, FL 33155 | No data |
| REGISTERED AGENT NAME CHANGED | 2009-01-29 | HAIDAR, IDALMA M | No data |
| AMENDMENT | 2007-11-26 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J12001104192 | TERMINATED | 1000000414582 | MIAMI-DADE | 2012-12-20 | 2032-12-28 | $ 300.00 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI SERVICE CENTER, 8175 NW 12TH ST STE 119, DORAL FL331261828 |
| J11000328356 | TERMINATED | 1000000216722 | DADE | 2011-05-20 | 2031-05-25 | $ 745.65 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI NORTH SERVICE CENTER, 8175 NW 12TH ST STE 119, MIAMI FL331261828 |
| J11000328372 | TERMINATED | 1000000216724 | DADE | 2011-05-20 | 2021-05-25 | $ 2,730.66 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI NORTH SERVICE CENTER, 8175 NW 12TH ST STE 119, MIAMI FL331261828 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-02 |
| ANNUAL REPORT | 2023-04-10 |
| AMENDED ANNUAL REPORT | 2022-05-19 |
| ANNUAL REPORT | 2022-03-10 |
| AMENDED ANNUAL REPORT | 2021-03-26 |
| ANNUAL REPORT | 2021-01-03 |
| ANNUAL REPORT | 2020-09-09 |
| ANNUAL REPORT | 2019-02-08 |
| ANNUAL REPORT | 2018-01-30 |
| AMENDED ANNUAL REPORT | 2017-10-23 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
