| Entity Name: | CMS IMAGING INCORPORATED |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Profit |
| Status: | Active |
| Date Filed: | 29 Aug 1994 (30 years ago) |
| Document Number: | F94000004469 |
| FEI/EIN Number | 570839486 |
| Address: | 4050 AZALEA DRIVE, NORTH CHARLESTON, SC, 29405, US |
| Mail Address: | 4050 AZALEA DRIVE, NORTH CHARLESTON, SC, 29405, US |
| Place of Formation: | SOUTH CAROLINA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942483482 | 2007-12-06 | 2012-02-15 | 653 KINGSLEY AVE, ORANGE PARK, FL, 320735467, US | 653 KINGSLEY AVE, ORANGE PARK, FL, 320735467, US | |||||||||||||||||||||||||
|
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| Phone | +1 904-264-8154 |
| Fax | 9042641509 |
Authorized person
| Name | JAMES SLOAN |
| Role | CEO |
| Phone | 9042648154 |
Taxonomy
| Taxonomy Code | 332BX2000X - Oxygen Equipment & Supplies (DME) |
| License Number | 049264 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 211345700 |
| State | FL |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| SLOAN JOHN | President | 4050 AZALEA DRIVE, NORTH CHARLESTON, SC, 29405 |
| Name | Role | Address |
|---|---|---|
| COUCH GREG | Vice President | 4050 AZALEA DRIVE, NORTH CHARLESTON, SC, 29405 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G12000001247 | MEDCO INC. | ACTIVE | 2012-01-04 | 2027-12-31 | No data | 653 KINGSLEY AVENUE, ORANGE PARK, FL, 32073 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2016-07-01 | CORPORATION SERVICE COMPANY | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-07-01 | 1201 HAYS STREET, TALLAHASSEE, FL 32301 | No data |
| CHANGE OF MAILING ADDRESS | 2010-02-15 | 4050 AZALEA DRIVE, NORTH CHARLESTON, SC 29405 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2006-07-13 | 4050 AZALEA DRIVE, NORTH CHARLESTON, SC 29405 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-04 |
| ANNUAL REPORT | 2023-01-13 |
| ANNUAL REPORT | 2022-01-21 |
| ANNUAL REPORT | 2021-01-22 |
| ANNUAL REPORT | 2020-01-30 |
| ANNUAL REPORT | 2019-03-12 |
| ANNUAL REPORT | 2018-02-19 |
| ANNUAL REPORT | 2017-02-20 |
| Reg. Agent Change | 2016-07-01 |
| ANNUAL REPORT | 2016-03-24 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
