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Grace Healthcare Laboratory, Inc.

Company Details

Name: Grace Healthcare Laboratory, Inc.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Dissolved
Effective Date: 23 Jan 2004 (21 years ago)
Business ID: 850909
ZIP code: 39501
County: Harrison
State of Incorporation: MISSISSIPPI
Principal Office Address: 1120 Broad AveGulfport, MS 39501

Incorporator

Name Role Address
David J Wolf Incorporator 400 Pinecrest Circle, Long Beach, MS 39560

Director

Name Role Address
David J Wolf Director 1120 Broad Ave, Gulfport, MS 39501

President

Name Role Address
David J Wolf President 1120 Broad Ave, Gulfport, MS 39501

Agent

Name Role Address
Wolf, David J Agent 400 Pinecrest Circle, Long Beach, MS 39560

National Provider Identifier

NPI Number:
1275531261

Authorized Person:

Name:
MR. DAVID WOLF
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
291U00000X - Clinical Medical Laboratory
Is Primary:
Yes

Contacts:

Fax:
2288633392

Filings

Type Status Filed Date Description
Admin Dissolution Filed 2011-12-05 Admin Dissolution
Notice to Dissolve/Revoke Filed 2011-07-25 Notice to Dissolve/Revoke
Annual Report Filed 2010-09-13 Annual Report
Notice to Dissolve/Revoke Filed 2010-09-12 Notice to Dissolve/Revoke
Annual Report Filed 2009-06-08 Annual Report
Annual Report Filed 2008-06-02 Annual Report
Annual Report Filed 2007-04-27 Annual Report
Annual Report Filed 2006-05-16 Annual Report
Annual Report Filed 2005-04-21 Annual Report
Annual Report Filed 2005-03-25 Annual Report

Date of last update: 12 May 2025

Sources: Company Profile on Mississippi Secretary of State Website