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  5. UNIVERSITY DIAGNOSTIC INSTITUTE, LTD.

UNIVERSITY DIAGNOSTIC INSTITUTE, LTD. - Florida Company Profile

Company Details

Entity Name: UNIVERSITY DIAGNOSTIC INSTITUTE, LTD.
Jurisdiction: FLORIDA
Filing Type: Domestic Limited Partnership
Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 21 Jun 1983 (42 years ago)
Last Event: CORPORATE MERGER
Event Date Filed: 19 Dec 2014 (10 years ago)
Document Number: A14741
FEI/EIN Number 592469164

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 3301 USF ALUMNI DRIVE, TAMPA, FL, 33612
Mail Address: 3301 USF ALUMNI DRIVE, TAMPA, FL, 33612
ZIP code: 33612
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1326021346 2005-11-23 2007-09-27 3301 ALUMNI DR, TAMPA, FL, 336129413, US 3301 ALUMNI DR, TAMPA, FL, 336129413, US

Contacts
Phone +1 813-972-3351
Fax 9139716892

Authorized person
Name MS. PAMELA EDWARDS
Role DIRECTOR OF OPERATIONS
Phone 8139723351

Taxonomy
Taxonomy Code 2085R0202X - Diagnostic Radiology Physician
Is Primary No
Taxonomy Code 261QM1200X - Magnetic Resonance Imaging (MRI) Clinic/Center
Is Primary No
Taxonomy Code 261QR0200X - Radiology Clinic/Center
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 06060900
State FL
Issuer AMERIGROUP
Number 227379
State FL
Issuer BLUE CROSS BLUE SHIELD
Number V2338
State FL
Issuer AVMED
Number 081944
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
UNIVERSITY DIAGNOSTIC INSTITUTE, LTD. PROFIT SHARING AND 401(K) PLAN 2023 592469164 2024-02-13 UNIVERSITY DIAGNOSTIC INSTITUTE, LTD. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621510
Sponsor’s telephone number 8139728540
Plan sponsor’s address 3301 USF ALUMNI DRIVE, TAMPA, FL, 336129413

Signature of
Role Plan administrator
Date 2024-02-13
Name of individual signing DEXTER STALLWORTH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-02-13
Name of individual signing DEXTER STALLWORTH
Valid signature Filed with authorized/valid electronic signature
UNIVERSITY DIAGNOSTIC INSTITUTE, LTD. PROFIT SHARING AND 401(K) PLAN 2022 592469164 2023-09-26 UNIVERSITY DIAGNOSTIC INSTITUTE, LTD. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621510
Sponsor’s telephone number 8139728540
Plan sponsor’s address 3301 USF ALUMNI DRIVE, TAMPA, FL, 336129413

Signature of
Role Plan administrator
Date 2023-09-26
Name of individual signing DEXTER STALLWORTH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-09-26
Name of individual signing DEXTER STALLWORTH
Valid signature Filed with authorized/valid electronic signature
UNIVERSITY DIAGNOSTIC INSTITUTE, LTD. PROFIT SHARING AND 401(K) PLAN 2021 592469164 2022-06-08 UNIVERSITY DIAGNOSTIC INSTITUTE, LTD. 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621510
Sponsor’s telephone number 8139728540
Plan sponsor’s address 3301 USF ALUMNI DRIVE, TAMPA, FL, 336129413

Signature of
Role Plan administrator
Date 2022-06-08
Name of individual signing DEXTER STALLWORTH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-06-08
Name of individual signing DEXTER STALLWORTH
Valid signature Filed with authorized/valid electronic signature
UNIVERSITY DIAGNOSTIC INSTITUTE, LTD. PROFIT SHARING AND 401(K) PLAN 2020 592469164 2021-05-27 UNIVERSITY DIAGNOSTIC INSTITUTE, LTD. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621510
Sponsor’s telephone number 8139728540
Plan sponsor’s address 3301 USF ALUMNI DRIVE, TAMPA, FL, 336129413

Signature of
Role Plan administrator
Date 2021-05-27
Name of individual signing DEXTER STALLWORTH
Valid signature Filed with authorized/valid electronic signature
UNIVERSITY DIAGNOSTIC INSTITUTE, LTD. PROFIT SHARING AND 401(K) PLAN 2019 592469164 2020-04-24 UNIVERSITY DIAGNOSTIC INSTITUTE, LTD. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621510
Sponsor’s telephone number 8139728540
Plan sponsor’s address 3301 USF ALUMNI DRIVE, TAMPA, FL, 336129413

Signature of
Role Plan administrator
Date 2020-04-24
Name of individual signing DEXTER STALLWORTH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-04-24
Name of individual signing DEXTER STALLWORTH
Valid signature Filed with authorized/valid electronic signature
UNIVERSITY DIAGNOSTIC INSTITUTE, LTD. PROFIT SHARING AND 401(K) PLAN 2018 592469164 2019-04-12 UNIVERSITY DIAGNOSTIC INSTITUTE, LTD. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621510
Sponsor’s telephone number 8139728540
Plan sponsor’s address 3301 USF ALUMNI DRIVE, TAMPA, FL, 336129413

Signature of
Role Plan administrator
Date 2019-04-12
Name of individual signing DEXTER STALLWORTH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-04-12
Name of individual signing PAMELA EDWARDS
Valid signature Filed with authorized/valid electronic signature
UNIVERSITY DIAGNOSTIC INSTITUTE, LTD. PROFIT SHARING AND 401(K) PLAN 2017 592469164 2018-04-10 UNIVERSITY DIAGNOSTIC INSTITUTE, LTD. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621510
Sponsor’s telephone number 8139728540
Plan sponsor’s address 3301 USF ALUMNI DRIVE, TAMPA, FL, 336129413

Signature of
Role Plan administrator
Date 2018-04-10
Name of individual signing PAMELA EDWARDS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-04-10
Name of individual signing PAMELA EDWARDS
Valid signature Filed with authorized/valid electronic signature
UNIVERSITY DIAGNOSTIC INSTITUTE, LTD. PROFIT SHARING AND 401(K) PLAN 2016 592469164 2017-04-24 UNIVERSITY DIAGNOSTIC INSTITUTE, LTD. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621510
Sponsor’s telephone number 8139728540
Plan sponsor’s address 3301 USF ALUMNI DRIVE, TAMPA, FL, 336129413

Signature of
Role Plan administrator
Date 2017-04-24
Name of individual signing PAMELA EDWARDS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-04-24
Name of individual signing PAMELA EDWARDS
Valid signature Filed with authorized/valid electronic signature
UNIVERSITY DIAGNOSTIC INSTITUTE, LTD. PROFIT SHARING AND 401(K) PLAN 2015 592469164 2016-04-12 UNIVERSITY DIAGNOSTIC INSTITUTE, LTD. 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621510
Sponsor’s telephone number 8139728540
Plan sponsor’s address 3301 USF ALUMNI DRIVE, TAMPA, FL, 336129413

Signature of
Role Plan administrator
Date 2016-04-12
Name of individual signing DEXTER STALLWORTH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-04-12
Name of individual signing DEXTER STALLWORTH
Valid signature Filed with authorized/valid electronic signature
UNIVERSITY DIAGNOSTIC INSTITUTE, LTD. PROFIT SHARING AND 401(K) PLAN 2014 592469164 2015-04-23 UNIVERSITY DIAGNOSTIC INSTITUTE, LTD. 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621510
Sponsor’s telephone number 8139728540
Plan sponsor’s address 3301 ALUMNI DR, TAMPA, FL, 336129413

Signature of
Role Plan administrator
Date 2015-04-23
Name of individual signing DEXTER STALLWORTH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-04-23
Name of individual signing DEXTER STALLWORTH
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
C T CORPORATION SYSTEM Agent -
NEURORADIOLOGY ASSOCIATES OF TAMPA, PA General Partner 3301 USF ALUMNI DRIVE, TAMPA, FL, 33612

Events

Event Type Filed Date Value Description
MERGER 2014-12-19 - CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. MERGER NUMBER 500000147555
REGISTERED AGENT NAME CHANGED 2011-07-28 C T CORPORATION SYSTEM -
REGISTERED AGENT ADDRESS CHANGED 2011-07-28 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 -
LP AMENDMENT 2011-01-13 - -
CHANGE OF PRINCIPAL ADDRESS 2009-01-19 3301 USF ALUMNI DRIVE, TAMPA, FL 33612 -
CHANGE OF MAILING ADDRESS 2009-01-19 3301 USF ALUMNI DRIVE, TAMPA, FL 33612 -
AMENDMENT 2002-02-01 - -
REINSTATEMENT 1994-05-17 - -
REVOKED FOR ANNUAL REPORT 1994-04-15 - -
REINSTATEMENT 1992-05-22 - -

Documents

Name Date
ANNUAL REPORT 2025-01-07
ANNUAL REPORT 2024-01-08
ANNUAL REPORT 2023-01-17
ANNUAL REPORT 2022-01-07
ANNUAL REPORT 2021-01-06
ANNUAL REPORT 2020-01-02
ANNUAL REPORT 2019-01-07
ANNUAL REPORT 2018-01-05
ANNUAL REPORT 2017-01-09
ANNUAL REPORT 2016-01-25

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
2044997108 2020-04-10 0455 PPP 3301 USF ALUMNI DR, TAMPA, FL, 33612-9413
Loan Status Date 2021-03-20
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 207750
Loan Approval Amount (current) 207750
Undisbursed Amount 0
Franchise Name -
Lender Location ID 58036
Servicing Lender Name Fifth Third Bank
Servicing Lender Address 38 Fountain Sq Plz, CINCINNATI, OH, 45263
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address TAMPA, HILLSBOROUGH, FL, 33612-9413
Project Congressional District FL-15
Number of Employees 19
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Partnership
Originating Lender ID 58036
Originating Lender Name Fifth Third Bank
Originating Lender Address CINCINNATI, OH
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 209458.17
Forgiveness Paid Date 2021-02-17

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Date of last update: 01 Apr 2025

Sources: Florida Department of State

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