Entity Name: | MEDICOMP, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Foreign Profit |
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: | 28 Dec 2000 (24 years ago) |
Last Event: | NAME CHANGE AMENDMENT |
Event Date Filed: | 17 Jan 2001 (24 years ago) |
Document Number: | F00000007211 |
FEI/EIN Number |
522283535
Federal Employer Identification (FEI) Number assigned by the IRS. |
Address: | 600 ATLANTIS ROAD, MELBOURNE, FL, 32904, US |
Mail Address: | 600 ATLANTIS ROAD, MELBOURNE, FL, 32904, US |
ZIP code: | 32904 |
County: | Brevard |
Place of Formation: | DELAWARE |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1588664940 | 2005-07-28 | 2024-10-09 | 600 ATLANTIS RD, MELBOURNE, FL, 329042315, US | 600 ATLANTIS RD, MELBOURNE, FL, 329042315, US | |||||||||||||||||||||||||||||||||||||
|
Phone | +1 321-676-0010 |
Fax | 8662943975 |
Authorized person
Name | JOHN FIEDOR |
Role | CHIEF FINANCIAL OFFICER |
Phone | 5612830932 |
Taxonomy
Taxonomy Code | 293D00000X - Physiological Laboratory |
Is Primary | No |
Taxonomy Code | 335V00000X - Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
Is Primary | Yes |
Other Provider Identifiers
Issuer | AETNA PROVIDER# |
Number | 3283728 |
State | FL |
Issuer | PALMETTO GBA# |
Number | 470001771 |
State | FL |
Issuer | BLUE CROSS PROVIDER # |
Number | V2230 |
State | FL |
Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
MEDICOMP EMPLOYEES' RETIREMENT PLAN | 2017 | 522283535 | 2018-04-24 | MEDICOMP, INC. | 107 | |||||||||||||||||||||||||||||||||
|
Role | Plan administrator |
Date | 2018-04-24 |
Name of individual signing | TONY BALDA |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2011-05-01 |
Business code | 621510 |
Sponsor’s telephone number | 3216760010 |
Plan sponsor’s address | 600 ATLANTIS ROAD, MELBOURNE, FL, 32904 |
Signature of
Role | Plan administrator |
Date | 2017-05-04 |
Name of individual signing | TONY BALDA |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2011-05-01 |
Business code | 621510 |
Sponsor’s telephone number | 3216760010 |
Plan sponsor’s address | 600 ATLANTIS ROAD, MELBOURNE, FL, 32904 |
Signature of
Role | Plan administrator |
Date | 2016-10-12 |
Name of individual signing | TONY BALDA |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2011-05-01 |
Business code | 621510 |
Sponsor’s telephone number | 3216760010 |
Plan sponsor’s address | 600 ATLANTIS ROAD, MELBOURNE, FL, 32904 |
Signature of
Role | Plan administrator |
Date | 2015-09-02 |
Name of individual signing | DAN BALDA |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2011-05-01 |
Business code | 621510 |
Sponsor’s telephone number | 3216760010 |
Plan sponsor’s address | 600 ATLANTIS ROAD, MELBOURNE, FL, 32904 |
Signature of
Role | Plan administrator |
Date | 2014-09-03 |
Name of individual signing | DAN BALDA |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2011-05-01 |
Business code | 621510 |
Sponsor’s telephone number | 3216760010 |
Plan sponsor’s address | 7845 ELLIS RD, MELBOURNE, FL, 32904 |
Signature of
Role | Plan administrator |
Date | 2013-10-03 |
Name of individual signing | DAN BALDA |
Valid signature | Filed with authorized/valid electronic signature |
Role | Employer/plan sponsor |
Date | 2013-10-03 |
Name of individual signing | DAN BALDA |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2011-05-01 |
Business code | 621510 |
Sponsor’s telephone number | 3216760010 |
Plan sponsor’s address | 7845 ELLIS RD, MELBOURNE, FL, 32904 |
Plan administrator’s name and address
Administrator’s EIN | 522283535 |
Plan administrator’s name | MEDICOMP, INC. |
Plan administrator’s address | 7845 ELLIS RD, MELBOURNE, FL, 32904 |
Administrator’s telephone number | 3216760010 |
Signature of
Role | Plan administrator |
Date | 2012-10-11 |
Name of individual signing | DAN BALDA |
Valid signature | Filed with authorized/valid electronic signature |
Name | Role | Address |
---|---|---|
CORPORATION SERVICE COMPANY | Agent | - |
BALDA ANTHONY | President | 600 ATLANTIS ROAD, MELBOURNE, FL, 32904 |
FIEDOR JACK | Secretary | 600 ATLANTIS ROAD, MELBOURNE, FL, 32904 |
Quasha Alan | Director | 222 Lakeview Avenue, West Palm Beach, FL, 33401 |
Etinberg Inna | Director | 222 Lakeview Avenue, West Palm Beach, FL, 33401 |
Liddicoat John | Director | 222 Lakeview Avenue, West Palm Beach, FL, 33401 |
McGee Luke | Director | 222 Lakeview Avenue, West Palm Beach, FL, 33401 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G22000125841 | REACTDX | ACTIVE | 2022-10-07 | 2027-12-31 | - | 600 ATLANTIS ROAD, MELBOURNE, FL, 32904 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2025-01-29 | 600 Atlantis Rd, Melbourne, FL 32904 | - |
CHANGE OF MAILING ADDRESS | 2025-01-29 | 600 Atlantis Rd, Melbourne, FL 32904 | - |
REGISTERED AGENT NAME CHANGED | 2023-01-10 | CORPORATION SERVICE COMPANY | - |
REGISTERED AGENT ADDRESS CHANGED | 2023-01-10 | 1201 HAYS STREET, TALLAHASSEE, FL 32301 | - |
NAME CHANGE AMENDMENT | 2001-01-17 | MEDICOMP, INC. | - |
Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
---|---|---|---|---|---|---|---|
J13001828772 | TERMINATED | 1000000563048 | BREVARD | 2013-12-11 | 2033-12-26 | $ 4,056.53 | STATE OF FLORIDA0047757 |
Name | Date |
---|---|
ANNUAL REPORT | 2025-01-29 |
ANNUAL REPORT | 2024-04-19 |
ANNUAL REPORT | 2023-03-09 |
Reg. Agent Change | 2023-01-10 |
AMENDED ANNUAL REPORT | 2022-12-16 |
ANNUAL REPORT | 2022-02-03 |
ANNUAL REPORT | 2021-03-29 |
ANNUAL REPORT | 2020-04-29 |
ANNUAL REPORT | 2019-02-11 |
ANNUAL REPORT | 2018-01-19 |
Contract Type | Award or IDV Flag | PIID | Start Date | Current End Date | Potential End Date | |||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
DELIVERY ORDER | AWARD | 36C25524N0336 | 2024-08-04 | 2025-08-03 | 2025-08-03 | |||||||||||||||||||||||||||
|
Obligated Amount | 116710.00 |
Current Award Amount | 116710.00 |
Potential Award Amount | 116710.00 |
Description
Title | CARDIAC MONITORIN |
NAICS Code | 621511: MEDICAL LABORATORIES |
Product and Service Codes | Q502: CARDIOLOGY |
Recipient Details
Recipient | MEDICOMP INC |
UEI | NN21N7DV2LF3 |
Recipient Address | UNITED STATES, 600 ATLANTIS RD, MELBOURNE, BREVARD, FLORIDA, 329042315 |
Unique Award Key | CONT_IDV_36C25520D0046_3600 |
Awarding Agency | Department of Veterans Affairs |
Link | View Page |
Award Amounts
Obligated Amount | 0.00 |
Potential Award Amount | 1739360.00 |
Description
Title | CARDIAC MONITORIN |
NAICS Code | 621511: MEDICAL LABORATORIES |
Product and Service Codes | Q502: CARDIOLOGY |
Recipient Details
Recipient | MEDICOMP INC |
UEI | NN21N7DV2LF3 |
Recipient Address | UNITED STATES, 600 ATLANTIS RD, MELBOURNE, BREVARD, FLORIDA, 329042315 |
Unique Award Key | CONT_AWD_W81K0012P0744_9700_-NONE-_-NONE- |
Awarding Agency | Department of Defense |
Link | View Page |
Award Amounts
Obligated Amount | 6000.00 |
Current Award Amount | 6000.00 |
Potential Award Amount | 6000.00 |
Description
Title | PM350C DECIPHER HOLTER MONITOR |
NAICS Code | 811219: OTHER ELECTRONIC AND PRECISION EQUIPMENT REPAIR AND MAINTENANCE |
Product and Service Codes | J065: MAINT/REPAIR/REBUILD OF EQUIPMENT- MEDICAL, DENTAL, AND VETERINARY EQUIPMENT AND SUPPLIES |
Recipient Details
Recipient | MEDICOMP INC |
UEI | NN21N7DV2LF3 |
Recipient Address | 7845 ELLIS RD, MELBOURNE, BREVARD, FLORIDA, 329041113, UNITED STATES |
Unique Award Key | CONT_AWD_HHSI247201200071A_7527_-NONE-_-NONE- |
Awarding Agency | Department of Health and Human Services |
Link | View Page |
Description
Title | SERVICES FOR HOLTER AND EVENT MONITOR DEVICES - NACP |
NAICS Code | 423450: MEDICAL, DENTAL, AND HOSPITAL EQUIPMENT AND SUPPLIES MERCHANT WHOLESALERS |
Product and Service Codes | 6515: MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES |
Recipient Details
Recipient | MEDICOMP INC |
UEI | NN21N7DV2LF3 |
Legacy DUNS | 057729253 |
Recipient Address | 7845 ELLIS RD, MELBOURNE, BREVARD, FLORIDA, 32904, UNITED STATES OF AMERICA |
Unique Award Key | CONT_AWD_W81K0011P0518_9700_-NONE-_-NONE- |
Awarding Agency | Department of Defense |
Link | View Page |
Description
Title | MEDICAL MAINTENANCE |
NAICS Code | 811219: OTHER ELECTRONIC AND PRECISION EQUIPMENT REPAIR AND MAINTENANCE |
Product and Service Codes | J065: MAINT-REP OF MEDICAL-DENTAL-VET EQ |
Recipient Details
Recipient | MEDICOMP INC |
UEI | NN21N7DV2LF3 |
Legacy DUNS | 057729253 |
Recipient Address | 7845 ELLIS RD, MELBOURNE, 329041113, UNITED STATES |
Unique Award Key | CONT_AWD_HHSI247201100082A_7527_-NONE-_-NONE- |
Awarding Agency | Department of Health and Human Services |
Link | View Page |
Description
Title | FY 2011 CONTRACT FOR HOLTER EVENT MONITOR DEVICES AND ECG STRIPS - MEDICOMP INC, PERIOD OF SERVICE APRIL 1 2011 TO SEPT 30 2011 |
NAICS Code | 423450: MEDICAL, DENTAL, AND HOSPITAL EQUIPMENT AND SUPPLIES MERCHANT WHOLESALERS |
Product and Service Codes | 6515: MED & SURGICAL INSTRUMENTS,EQ & SUP |
Recipient Details
Recipient | MEDICOMP INC |
UEI | NN21N7DV2LF3 |
Legacy DUNS | 057729253 |
Recipient Address | 7845 ELLIS RD, MELBOURNE, 329041113, UNITED STATES |
Unique Award Key | CONT_AWD_V657SC1239_3600_-NONE-_-NONE- |
Awarding Agency | Department of Veterans Affairs |
Link | View Page |
Description
Title | TAS::36 0160::TAS MEDICAL SERVICES |
Product and Service Codes | Q502: CARDIO-VASCULAR SERVICES |
Recipient Details
Recipient | MEDICOMP INC |
UEI | NN21N7DV2LF3 |
Legacy DUNS | 057729253 |
Recipient Address | 7845 ELLIS RD, MELBOURNE, 329041113, UNITED STATES |
Unique Award Key | CONT_AWD_W81K0010P0217_9700_-NONE-_-NONE- |
Awarding Agency | Department of Defense |
Link | View Page |
Award Amounts
Obligated Amount | 10600.00 |
Current Award Amount | 10600.00 |
Potential Award Amount | 10600.00 |
Description
Title | DECIPHER |
NAICS Code | 334510: ELECTROMEDICAL AND ELECTROTHERAPEUTIC APPARATUS MANUFACTURING |
Product and Service Codes | 6515: MED & SURGICAL INSTRUMENTS,EQ & SUP |
Recipient Details
Recipient | MEDICOMP INC |
UEI | NN21N7DV2LF3 |
Legacy DUNS | 057729253 |
Recipient Address | 7845 ELLIS RD, MELBOURNE, BREVARD, FLORIDA, 329041113, UNITED STATES |
Unique Award Key | CONT_AWD_V657SC0179_3600_-NONE-_-NONE- |
Awarding Agency | Department of Veterans Affairs |
Link | View Page |
Description
Title | MEDICAL SERVICES |
Product and Service Codes | Q999: OTHER MEDICAL SERVICES |
Recipient Details
Recipient | MEDICOMP INC |
UEI | NN21N7DV2LF3 |
Legacy DUNS | 057729253 |
Recipient Address | 7845 ELLIS RD, MELBOURNE, 329041113, UNITED STATES |
Unique Award Key | CONT_AWD_W81K0010P0092_9700_-NONE-_-NONE- |
Awarding Agency | Department of Defense |
Link | View Page |
Description
Title | DECIPHER HOLTER MONITOR |
NAICS Code | 339112: SURGICAL AND MEDICAL INSTRUMENT MANUFACTURING |
Product and Service Codes | 6515: MED & SURGICAL INSTRUMENTS,EQ & SUP |
Recipient Details
Recipient | MEDICOMP INC |
UEI | NN21N7DV2LF3 |
Legacy DUNS | 057729253 |
Recipient Address | 7845 ELLIS RD, MELBOURNE, 329041113, UNITED STATES |
Inspection Nr | Report ID | Date Opened | Site Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
335101382 | 0420600 | 2012-07-09 | 7845 ELLIS ROAD, MELBOURNE, FL, 32904 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Citation ID | 01001 |
Citaton Type | Serious |
Standard Cited | 19100133 A01 |
Issuance Date | 2012-08-02 |
Abatement Due Date | 2012-08-09 |
Current Penalty | 300.0 |
Initial Penalty | 500.0 |
Final Order | 2012-08-20 |
Nr Instances | 1 |
Nr Exposed | 1 |
FTA Current Penalty | 0.0 |
Citation text line | 29 CFR 1910.133(a)(1): The employer did not ensure that each affected employee uses appropriate eye or face protection when exposed to eye or face hazards from flying particles, molten metal, liquid chemicals, acids or caustic liquids, chemical gases or vapors, or potentially injurious light radiation: a) At the loading dock area, of the property located at 7845 Ellis Road - a compressed airline was being operated by an employee to clean holter devices with out use of eye protection, as observed on or about 07/09/2012. |
Citation ID | 01002 |
Citaton Type | Serious |
Standard Cited | 19100242 B |
Issuance Date | 2012-08-02 |
Abatement Due Date | 2012-08-09 |
Current Penalty | 1260.0 |
Initial Penalty | 2100.0 |
Final Order | 2012-08-20 |
Nr Instances | 1 |
Nr Exposed | 1 |
Gravity | 1 |
FTA Current Penalty | 0.0 |
Citation text line | 29 CFR 1910.242(b): Compressed air used for cleaning. Compressed air shall not be used for cleaning purposes except where reduced to less than 30 p.s.i. and then only with effective chip guarding and personal protective equipment. a) At the loading dock area, of the property located at 7845 Ellis Road - a compressed airline was being operated by an employee at 50 psi, as observed on or about 07/09/2012. |
Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
9224278502 | 2021-03-12 | 0455 | PPS | 600 Atlantis Rd, Melbourne, FL, 32904-2315 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
8749577010 | 2020-04-08 | 0455 | PPP | 600 Atlantis Rd, MELBOURNE, FL, 32904-2315 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Status | User ID | Name of Firm | Trade Name | UEI | Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Active | P0557673 | MEDICOMP INC | REACTDX | NN21N7DV2LF3 | 600 ATLANTIS RD, MELBOURNE, FL, 32904-2315 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
HUBZone Certified | No |
Women Owned Certified | No |
Women Owned Pending | No |
Economically Disadvantaged Women Owned Certified | No |
Economically Disadvantaged Women Owned Pending | No |
Veteran-Owned Small Business Certified | No |
Veteran-Owned Small Business Joint Venture | No |
Service-Disabled Veteran-Owned Small Business Certified | No |
Service-Disabled Veteran-Owned Small Business Joint Venture | No |
Bonding Levels
Description | Construction Bonding Level (per contract) |
Level | (none given) |
Description | Construction Bonding Level (aggregate) |
Level | (none given) |
Description | Service Bonding Level (per contract) |
Level | (none given) |
Description | Service Bonding Level (aggregate) |
Level | (none given) |
NAICS Codes with Size Determinations by NAICS
Primary | Yes |
Code | 621999 |
NAICS Code's Description | All Other Miscellaneous Ambulatory Health Care Services |
Buy Green | No |
Code | 423450 |
NAICS Code's Description | Medical, Dental, and Hospital Equipment and Supplies Merchant Wholesalers |
Buy Green | Yes |
Code | 621512 |
NAICS Code's Description | Diagnostic Imaging Centers |
Buy Green | No |
Export Profile (Trade Mission Online)
Exporter | Firm hasn't answered this question yet |
Export Business Activities | (none given) |
Exporting to | (none given) |
Desired Export Business Relationships | (none given) |
Description of Export Objective(s) | (none given) |
Date of last update: 01 Apr 2025
Sources: Florida Department of State