| Entity Name: | AMERICAN DIAGNOSTIC MEDICINE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Profit |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 02 Jan 2001 (24 years ago) |
| Branch of: | AMERICAN DIAGNOSTIC MEDICINE, INC., ILLINOIS (Company Number CORP_53715893) |
| Date of dissolution: | 23 Sep 2011 (14 years ago) |
| Last Event: | REVOKED FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2011 (14 years ago) |
| Document Number: | F01000000029 |
| FEI/EIN Number |
363351715
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 3537 NO. LECANTO HIGHWAY, BEVERLY HILLS, FL, 34465 |
| Mail Address: | 960 INDUSTRIAL DR., STE 7, ELMHURST, IL, 60126 |
| ZIP code: | 34465 |
| County: | Citrus |
| Place of Formation: | ILLINOIS |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700994910 | 2006-08-28 | 2020-08-22 | PO BOX 6465, TITUSVILLE, FL, 327826465, US | 3537 N LECANTO HWY, BEVERLY HILLS, FL, 344653502, US | |||||||||||||||||||||||||
|
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| Phone | +1 352-527-9333 |
| Fax | 3525272482 |
Authorized person
| Name | HECTOR RIVERA |
| Role | TECHNOLOGIST/MANAGER |
| Phone | 3525279333 |
Taxonomy
| Taxonomy Code | 261QM1200X - Magnetic Resonance Imaging (MRI) Clinic/Center |
| License Number | HCC5650 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE SHIELD |
| Number | V2381 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| KANCHERLAPALLI SAM | President | 960 INDUSTRIAL DR STE 7, ELMHURST, IL, 60126 |
| KANCHERLAPALLI ANAND | Vice President | 960 INDUSTRIAL DR STE 7, ELMHURST, IL, 60126 |
| KANCHERLAPALLI SAM | Secretary | 960 INDUSTRIAL DR STE 7, ELMHURST, IL, 60126 |
| RIVERA HECTOR | Agent | 3537 NO. LECANTO HIGHWAY, BEVERLY HILLS, FL, 34465 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REVOKED FOR ANNUAL REPORT | 2011-09-23 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2009-05-28 | 3537 NO. LECANTO HIGHWAY, BEVERLY HILLS, FL 34465 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2009-05-28 | 3537 NO. LECANTO HIGHWAY, BEVERLY HILLS, FL 34465 | - |
| REGISTERED AGENT NAME CHANGED | 2007-07-06 | RIVERA, HECTOR | - |
| REINSTATEMENT | 2005-06-01 | - | - |
| REVOKED FOR ANNUAL REPORT | 2003-09-19 | - | - |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J19000641827 | ACTIVE | 1000000841849 | POLK | 2019-09-23 | 2029-09-25 | $ 711.25 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, OUT OF STATE COLLECTIONS UNIT, 1415 W US HIGHWAY 90 STE 115, LAKE CITY FL320556156 |
| J18000716340 | ACTIVE | 1000000801067 | POLK | 2018-10-19 | 2028-10-24 | $ 340.56 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, OUT OF STATE COLLECTIONS UNIT, 1415 W US HIGHWAY 90 STE 115, LAKE CITY FL320556156 |
| J18000160382 | ACTIVE | 1000000779626 | POLK | 2018-04-13 | 2038-04-18 | $ 990.00 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, OUT OF STATE COLLECTIONS UNIT, 1415 W US HIGHWAY 90 STE 115, LAKE CITY FL320556156 |
| J18000160390 | ACTIVE | 1000000779627 | POLK | 2018-04-13 | 2028-04-18 | $ 573.74 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, OUT OF STATE COLLECTIONS UNIT, 1415 W US HIGHWAY 90 STE 115, LAKE CITY FL320556156 |
| J13000865312 | ACTIVE | 1000000494583 | LEON | 2013-04-25 | 2033-05-03 | $ 330.00 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, OUT OF STATE COLLECTIONS UNIT, 1401 W US HIGHWAY 90 STE 100, LAKE CITY FL320556123 |
| J13000865320 | LAPSED | 1000000494584 | CITRUS | 2013-04-19 | 2023-05-03 | $ 414.64 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, OUT OF STATE COLLECTIONS UNIT, 1401 W US HIGHWAY 90 STE 100, LAKE CITY FL320556123 |
| J13000378241 | ACTIVE | 1000000408318 | LEON | 2013-02-06 | 2033-02-13 | $ 300.00 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, OUT OF STATE COLLECTIONS UNIT, 1401 W US HIGHWAY 90 STE 100, LAKE CITY FL320556123 |
| J04900001403 | LAPSED | 03-20435-COCE-49 | BROWARD COUNTY COURT | 2003-12-16 | 2009-01-22 | $3652.00 | ANGELICA CORPORATION, 989 BELLEVUE AVENUE, DAYTONA BEACH, FL 32114 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2010-06-16 |
| ANNUAL REPORT | 2009-05-28 |
| ANNUAL REPORT | 2009-03-20 |
| ANNUAL REPORT | 2008-02-21 |
| ANNUAL REPORT | 2007-07-06 |
| ANNUAL REPORT | 2006-01-30 |
| REINSTATEMENT | 2005-06-01 |
| Reg. Agent Change | 2002-11-20 |
| ANNUAL REPORT | 2002-11-05 |
| Foreign Profit | 2001-01-02 |
Date of last update: 03 Apr 2025
Sources: Florida Department of State
