| Entity Name: | FLORIDA MEDICAL STAT LABORATORY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
FLORIDA MEDICAL STAT LABORATORY, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 30 Aug 2010 (15 years ago) |
| Date of dissolution: | 22 Sep 2017 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (8 years ago) |
| Document Number: | P10000071260 |
| FEI/EIN Number |
274000636
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 7660 Nob Hill Road, Tamarac, FL, 33321, US |
| Mail Address: | 7660 Nob Hill Road, Tamarac, FL, 33321, US |
| ZIP code: | 33321 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194010058 | 2011-06-17 | 2011-06-17 | 7660 N NOB HILL RD, TAMARAC, FL, 333211843, US | 7660 N NOB HILL RD, TAMARAC, FL, 333211843, US | |||||||||||||||||||||||||||
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| Phone | +1 954-933-2439 |
Authorized person
| Name | MR. DAVID STUART GERREN |
| Role | LABORATORY MANAGER |
| Phone | 9549332439 |
Taxonomy
| Taxonomy Code | 291U00000X - Clinical Medical Laboratory |
| Is Primary | No |
| Taxonomy Code | 291U00000X - Clinical Medical Laboratory |
| License Number | NOT ISSUED YET |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | FILE NUMBER FOR AHCA |
| Number | 269842100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Raza Mukhtar | President | 7660 Nob Hill Road, Tamarac, FL, 33321 |
| Raza Mukhtar | Director | 7660 Nob Hill Road, Tamarac, FL, 33321 |
| RAZA MUKHTAR | Agent | 7660 Nob Hill Road, Tamarac, FL, 33321 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000105581 | RZA LABORATORY | EXPIRED | 2014-10-17 | 2019-12-31 | - | 1776 WEST BROWARD BLVD., FT. LAUDERDALE, FL, 33312 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | - | - |
| REGISTERED AGENT ADDRESS CHANGED | 2016-01-27 | 7660 Nob Hill Road, Tamarac, FL 33321 | - |
| REGISTERED AGENT NAME CHANGED | 2016-01-27 | RAZA, MUKHTAR | - |
| CHANGE OF MAILING ADDRESS | 2015-01-13 | 7660 Nob Hill Road, Tamarac, FL 33321 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2015-01-13 | 7660 Nob Hill Road, Tamarac, FL 33321 | - |
| AMENDMENT | 2014-08-27 | - | - |
| AMENDMENT | 2014-08-25 | - | - |
| REINSTATEMENT | 2013-10-10 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | - | - |
| AMENDMENT | 2012-10-19 | - | - |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J13000921081 | LAPSED | 13-03361-09 | BROWARD COUNTY CIR CT | 2013-04-03 | 2018-05-20 | $112,609.94 | LABORATORY CORPORATION OF AMERICA, C/O ROBERT E. KORN, ESQ., 2700 N. MILITARY TRAIL, STE. 100, BOCA RATON, FL 33431 |
| J13000556960 | TERMINATED | CACE12-30057 | BROWARD COUNTY CIRCUIT COURT | 2013-03-07 | 2018-03-11 | $24,596.83 | PHYSICIAN SALES AND SERVICE, A SUBSIDIARY OF PSS WORLD, C/O WILLIAM M. LINDEMAN, P.A., P.O. BOX 3506, ORLANDO, FL 32802 |
| J13000443615 | LAPSED | 12-026141 CACE 18 | BROWARD COUNTY | 2013-01-16 | 2018-02-20 | $44,295.65 | HENRY SCHEIN, INC., 135 DURYEA ROAD, MELVILLE, NY 11747-3834 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-01-27 |
| ANNUAL REPORT | 2015-01-13 |
| Amendment | 2014-08-27 |
| Amendment | 2014-08-25 |
| ANNUAL REPORT | 2014-01-03 |
| REINSTATEMENT | 2013-10-10 |
| Amendment | 2012-10-19 |
| Amendment | 2012-10-05 |
| Amendment | 2012-06-28 |
| Amendment | 2012-06-20 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
