| Entity Name: | SYNERGY DIAGNOSTIC LABORATORY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 27 Aug 2012 (12 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 28 Nov 2016 (8 years ago) |
| Document Number: | P12000073444 |
| FEI/EIN Number | 46-0878516 |
| Address: | 6100 Hollywood Blvd, Hollywood, FL, 33024, US |
| Mail Address: | 6100 Hollywood Blvd, Hollywood, FL, 33024, US |
| ZIP code: | 33024 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336497072 | 2012-08-28 | 2020-05-08 | 4081 SW 47TH AVE, SUITE 2, DAVIE, FL, 333144008, US | 4081 SW 47TH AVE, SUITE 2, DAVIE, FL, 333144008, US | |||||||||||||||||||
|
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| Phone | +1 954-581-3959 |
| Fax | 9545413952 |
| Fax | 9545306331 |
Authorized person
| Name | MR. DAVID LEE MUSKAT |
| Role | CEO |
| Phone | 9545813959 |
Taxonomy
| Taxonomy Code | 291U00000X - Clinical Medical Laboratory |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Muskat David LMr. | Agent | 6100 Hollywood Blvd, Hollywood, FL, 33024 |
| Name | Role | Address |
|---|---|---|
| MUSKAT DAVID L | Chief Executive Officer | 4081 SW 47TH AVENUE, DAVIE, FL, 33314 |
| Name | Role | Address |
|---|---|---|
| MUSKAT DAVID L | President | 4081 SW 47TH AVENUE, DAVIE, FL, 33314 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000042143 | SYNERGYDX | ACTIVE | 2020-04-16 | 2025-12-31 | No data | 4081 SW 47TH AVE, SUITE 2, DAVIE, FL, 33314 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-03-29 | 6100 Hollywood Blvd, 210, Hollywood, FL 33024 | No data |
| CHANGE OF MAILING ADDRESS | 2024-03-29 | 6100 Hollywood Blvd, 210, Hollywood, FL 33024 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-03-29 | 6100 Hollywood Blvd, 210, Hollywood, FL 33024 | No data |
| AMENDMENT | 2016-11-28 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2016-02-05 | Muskat, David Lee, Mr. | No data |
| AMENDMENT | 2015-08-27 | No data | No data |
| AMENDMENT | 2013-04-04 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-29 |
| ANNUAL REPORT | 2023-02-09 |
| ANNUAL REPORT | 2022-03-02 |
| ANNUAL REPORT | 2021-02-24 |
| ANNUAL REPORT | 2020-04-15 |
| ANNUAL REPORT | 2019-04-18 |
| ANNUAL REPORT | 2018-02-19 |
| ANNUAL REPORT | 2017-03-17 |
| Amendment | 2016-11-28 |
| ANNUAL REPORT | 2016-02-05 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
