{"entity":{"id":4575529,"state":"FL","state_id":"J11600","entity_name":"PHYSICIANS REFERENCE LABORATORY SERVICES OF COUNTRYSIDE, INC.","entity_type":"DOMP","entity_type_normalized":"domestic_profit","status":"I","filing_date":"1986-04-29","filing_year":1986,"business_age_years":40,"principal_address1":"209 STATE STREET","principal_address2":"P.O.BOX 368","principal_city":"OLDSMAR","principal_state":"FL","principal_zip":"34677-3654","principal_country":"","mail_address1":"209 STATE STREET","mail_address2":"P.O.BOX 368","mail_city":"OLDSMAR","mail_state":"FL","mail_zip":"34677-3654","mail_country":"","location_name":null,"location_address1":null,"location_address2":null,"location_city":null,"location_state":null,"location_zip":null,"fei_ein":"592692030","jurisdiction":null,"county":null,"last_transaction_date":"05151992","report_year_1":"1991","report_date_1":"06191991","report_year_2":"1991","report_date_2":"06191991","report_year_3":"1990","report_date_3":"05081990","agent_name":"Morris Behar","agent_type":"C","agent_address":"140 PINE LAKE DRIVE","agent_city":"OLDSMAR","agent_state":"FL","agent_zip":"33557","process_name":null,"process_address1":null,"process_address2":null,"process_city":null,"process_state":null,"process_zip":null,"source_file":"cordata0.txt","fetched_at":"2026-05-09 08:21:44","updated_at":"2026-05-09 08:21:44","last_accessed":null,"status_reason":null,"agent_name_raw":"BEHAR, MORRIS"},"officers":[{"name":"Morris Behar","first_name":"Morris","last_name":"Behar","title":"President","title_roles":["President"],"title_code":"president","is_registered_agent":true,"address":"140 PINE LAKE DRIVE","city":"OLDSMAR","state":"FL","zip":"","name_raw":"BEHAR, MORRIS"},{"name":"David A. Bernstein MD","first_name":"David","last_name":"Bernstein","title":"Director","title_roles":["Director"],"title_code":"director","is_registered_agent":false,"address":"2424 ENTERPRISE ROAD","city":"CLEARWATER","state":"FL","zip":"","name_raw":"BERNSTEIN, DAVID A. M.D."},{"name":"Stephen, Jacobs MD","first_name":"Stephen,","last_name":"Jacobs","title":"Director","title_roles":["Director"],"title_code":"director","is_registered_agent":false,"address":"3001 EASTLAND BLVD.","city":"CLEARWATER","state":"FL","zip":"","name_raw":"JACOBS, STEPHEN, M.D."},{"name":"Stephen, Mazer MD","first_name":"Stephen,","last_name":"Mazer","title":"Director","title_roles":["Director"],"title_code":"director","is_registered_agent":false,"address":"2467 ENTERPRISE","city":"CLEARWATER","state":"FL","zip":"","name_raw":"MAZER, STEPHEN, M.D."}],"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/J11600"}