Search icon

PROFESSIONAL PORTABLE RADIOLOGIC SERVICES, INC.

Branch

Company Details

Entity Name: PROFESSIONAL PORTABLE RADIOLOGIC SERVICES, INC.
Jurisdiction: FLORIDA
Filing Type: Foreign Profit Corporation
Status: Active
Date Filed: 22 Jul 2021 (4 years ago)
Branch of: PROFESSIONAL PORTABLE RADIOLOGIC SERVICES, INC., MINNESOTA (Company Number 03294f55-9dd4-e011-a886-001ec94ffe7f)
Document Number: F21000004159
FEI/EIN Number 41-1655043
Mail Address: 3825 N LAFAYETTE ST, DENVER, CO 80205
Address: 2420 S UNION AVE STE 120, TACOMA, WA 98405
Place of Formation: MINNESOTA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1073341491 2024-07-25 2024-07-25 3825 N LAFAYETTE ST, DENVER, CO, 802053316, US 5421 BEAUMONT CENTER BLVD STE 670, TAMPA, FL, 336345223, US

Contacts

Phone +1 866-895-2119

Authorized person

Name BRUCE JOHNSON
Role AUTHORIZED OFFICIAL
Phone 3035894149

Taxonomy

Taxonomy Code 293D00000X - Physiological Laboratory
Is Primary Yes

Agent

Name Role
CAPITOL CORPORATE SERVICES, INC. Agent

SECRETARY

Name Role Address
JOHNSON, BRUCE A SECRETARY 3825 N LAFAYETTE STREET, DENVER, CO 80205

VICE PRESIDENT

Name Role Address
JOHNSON, BRUCE A VICE PRESIDENT 3825 N LAFAYETTE STREET, DENVER, CO 80205

DIRECTOR

Name Role Address
JOHNSON, BRUCE A DIRECTOR 3825 N LAFAYETTE STREET, DENVER, CO 80205

President

Name Role Address
LANDIN, JESSICA President 3825 N LAFAYETTE ST, DENVER, CO 80205

Treasurer

Name Role Address
LANDIN, JESSICA Treasurer 3825 N LAFAYETTE ST, DENVER, CO 80205

Director

Name Role Address
LANDIN, JESSICA Director 3825 N LAFAYETTE ST, DENVER, CO 80205

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000052849 DYNAMIC MOBILE IMAGING ACTIVE 2022-04-26 2027-12-31 No data 3825 N. LAFAYETTE STREET, DENVER, CO, 80205
G22000005130 PROFESSIONAL PORTABLE X-RAY, INC. ACTIVE 2022-01-13 2027-12-31 No data 3825 N LAFAYETTE STREET, DENVER, CO, 80205

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2023-12-07 2420 S UNION AVE STE 120, TACOMA, WA 98405 No data
CHANGE OF PRINCIPAL ADDRESS 2023-04-27 2420 S UNION AVE STE 120, TACOMA, WA 98405 No data

Documents

Name Date
AMENDED ANNUAL REPORT 2024-08-22
ANNUAL REPORT 2024-03-13
AMENDED ANNUAL REPORT 2023-12-07
AMENDED ANNUAL REPORT 2023-10-27
ANNUAL REPORT 2023-04-27
AMENDED ANNUAL REPORT 2022-12-01
AMENDED ANNUAL REPORT 2022-08-05
ANNUAL REPORT 2022-04-28
Foreign Profit 2021-07-22

Date of last update: 14 Jan 2025

Sources: Florida Department of State