| Entity Name: | ST. JOSEPH'S DIAGNOSTIC CENTER, LTD. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Partnership |
| Status: | Inactive |
| Date Filed: | 25 Nov 1986 (38 years ago) |
| Date of dissolution: | 29 Nov 2007 (17 years ago) |
| Last Event: | CONVERSION |
| Event Date Filed: | 29 Nov 2007 (17 years ago) |
| Document Number: | A23662 |
| FEI/EIN Number | 59-2820952 |
| Address: | C/O SAN DAMIANO ENTERPRISES, INC., 3001 WEST DR. MARTIN LUTHER KING JR. BLVD, TAMPA, FL 33607 |
| Mail Address: | ATTN. ISAAC MALLAH, 3001 WEST DR. MARTIN LUTHER KING JR. BLVD., TAMPA, FL 33607 |
| ZIP code: | 33607 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427021054 | 2006-02-13 | 2020-08-22 | P O BOX 403800, ATLANTA, GA, 303840001, US | 10909 W LINEBAUGH AVE, TAMPA, FL, 336261741, US | |||||||||||||||||||||||
|
|||||||||||||||||||||||||||
| Phone | +1 813-852-3272 |
| Fax | 8138523233 |
| Phone | +1 813-920-1825 |
Authorized person
| Name | TOMMY INZINA |
| Role | EXEC VP |
| Phone | 7278208004 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 061048800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MALLAH, ISAAC | Agent | 3001 WEST DR. MARTIN LUTHER KING JR. BLVD., TAMPA, FL 33607 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CONVERSION | 2007-11-29 | No data | CONVERSION MEMBER. RESULTING CORPORATION WAS L07000119531. CONVERSION NUMBER 700000069837 |
| REGISTERED AGENT ADDRESS CHANGED | 2001-05-01 | 3001 WEST DR. MARTIN LUTHER KING JR. BLVD., TAMPA, FL 33607 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2001-05-01 | C/O SAN DAMIANO ENTERPRISES, INC., 3001 WEST DR. MARTIN LUTHER KING JR. BLVD, TAMPA, FL 33607 | No data |
| CHANGE OF MAILING ADDRESS | 2001-05-01 | C/O SAN DAMIANO ENTERPRISES, INC., 3001 WEST DR. MARTIN LUTHER KING JR. BLVD, TAMPA, FL 33607 | No data |
| REGISTERED AGENT NAME CHANGED | 1998-05-04 | MALLAH, ISAAC | No data |
| AMENDMENT | 1994-10-26 | No data | No data |
| AMENDED AND RESTATED CERTIFICATE | 1988-12-30 | No data | No data |
| REINSTATEMENT | 1987-11-19 | No data | No data |
| REVOCATION | 1987-09-14 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2007-05-10 |
| ANNUAL REPORT | 2006-05-06 |
| ANNUAL REPORT | 2005-05-06 |
| ANNUAL REPORT | 2004-05-06 |
| ANNUAL REPORT | 2003-04-29 |
| ANNUAL REPORT | 2002-04-29 |
| ANNUAL REPORT | 2001-05-01 |
| ANNUAL REPORT | 2000-04-27 |
| ANNUAL REPORT | 1998-12-17 |
| ANNUAL REPORT | 1998-05-04 |
Date of last update: 04 Feb 2025
Sources: Florida Department of State
