{"entity":{"id":11242786,"state":"FL","state_id":"361555","entity_name":"LAKE WALES MEDICAL LABORATORY INC","entity_type":"DOMP","entity_type_normalized":"domestic_profit","status":"I","filing_date":"1970-03-24","filing_year":1970,"business_age_years":56,"principal_address1":"1104 BRYN MAWR AVE","principal_address2":"","principal_city":"LAKE WALES FLA","principal_state":"","principal_zip":"33853","principal_country":"","mail_address1":"1104 BRYN MAWR AVE","mail_address2":"","mail_city":"LAKE WALES FLA","mail_state":"","mail_zip":"33853","mail_country":"","location_name":null,"location_address1":null,"location_address2":null,"location_city":null,"location_state":null,"location_zip":null,"fei_ein":"591287128","jurisdiction":null,"county":null,"last_transaction_date":"12261979","report_year_1":"1979","report_date_1":"05161979","report_year_2":"1979","report_date_2":"05161979","report_year_3":"1978","report_date_3":"08111978","agent_name":"C B Myers","agent_type":"C","agent_address":"130 CENTRAL AVE","agent_city":"LAKE WALES","agent_state":"FL","agent_zip":"33853","process_name":null,"process_address1":null,"process_address2":null,"process_city":null,"process_state":null,"process_zip":null,"source_file":"cordata5.txt","fetched_at":"2026-05-09 13:02:38","updated_at":"2026-05-09 13:02:38","last_accessed":null,"status_reason":null,"agent_name_raw":"MYERS,C B"},"officers":[{"name":"Ann H Adkinson","first_name":"Ann","last_name":"Adkinson","title":"Secretary, Treasurer","title_roles":["Secretary","Treasurer"],"title_code":"st","is_registered_agent":false,"address":"2513 MOUNTIAN LK CUTOFF","city":"LAKE WALES","state":"FL","zip":"","name_raw":"ADKINSON,ANN H"},{"name":"William M Adkinson","first_name":"William","last_name":"Adkinson","title":"President, Director","title_roles":["President","Director"],"title_code":"pd","is_registered_agent":false,"address":"2513 MOUNTIAN LK CUTOFF","city":"LAKE WALES","state":"FL","zip":"","name_raw":"ADKINSON,WILLIAM M"},{"name":"Horace F Herndon","first_name":"Horace","last_name":"Herndon","title":"Vice President, Director","title_roles":["Vice President","Director"],"title_code":"vd","is_registered_agent":false,"address":"HIGHLAND PARK DRIVE","city":"LAKE WALES","state":"FL","zip":"","name_raw":"HERNDON,HORACE F"}],"filing_history":[],"status_history":[],"unknown":["status_history: we do not collect status-change histories from the source feeds, so this empty list means we hold none — NOT that this company's status has never changed. Observed changes we DID see are under `history`."],"verified_domains":[],"history":null,"web_contact":null,"provenance_url":"https://private.rootz.global/api/provenance/FL/361555"}