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  5. MOBILE IMAGING OF ST. LUCIE COUNTY, INC.

MOBILE IMAGING OF ST. LUCIE COUNTY, INC.

Company Details

Entity Name: MOBILE IMAGING OF ST. LUCIE COUNTY, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 04 Nov 1988 (36 years ago)
Date of dissolution: 09 Apr 2018 (7 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 09 Apr 2018 (7 years ago)
Document Number: K43462
FEI/EIN Number 65-0104088
Address: 120 66TH AVE S.W., VERO BEACH, FL 32968
Mail Address: P.O. BOX 650571, VERO BEACH, FL 32965
ZIP code: 32968
County: Indian River
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1710219167 2010-02-10 2013-02-27 120 66TH AVE SW, VERO BEACH, FL, 329689706, US 120 66TH AVE SW, VERO BEACH, FL, 329689706, US

Contacts
Phone +1 772-569-9729
Fax 7725692769

Authorized person
Name ROSANNA CRAWFORD
Role OWNER
Phone 7725699729

Taxonomy
Taxonomy Code 261QR0208X - Mobile Radiology Clinic/Center
License Number HCC5034
State FL
Is Primary No
Taxonomy Code 293D00000X - Physiological Laboratory
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MOBILE IMAGING OF ST. LUCIE COUNTY, INC. 401(K) PROFIT SHARING PLAN 2017 650104088 2018-03-28 MOBILE IMAGING OF ST. LUCIE COUNTY, INC. 4
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 7725699729
Plan sponsor’s address P.O. BOX 650571, VERO BEACH, FL, 32965

Signature of
Role Plan administrator
Date 2018-03-28
Name of individual signing ROSANNA CRAWFORD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-03-28
Name of individual signing ROSANNA CRAWFORD
Valid signature Filed with authorized/valid electronic signature
MOBILE IMAGING OF ST. LUCIE COUNTY, INC. 401(K) PROFIT SHARING PLAN 2016 650104088 2017-09-21 MOBILE IMAGING OF ST. LUCIE COUNTY, INC. 4
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 7725699729
Plan sponsor’s address P.O. BOX 650571, VERO BEACH, FL, 32965

Signature of
Role Plan administrator
Date 2017-09-21
Name of individual signing ROSANNA CRAWFORD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-09-21
Name of individual signing ROSANNA CRAWFORD
Valid signature Filed with authorized/valid electronic signature
MOBILE IMAGING OF ST. LUCIE COUNTY, INC. 401(K) PROFIT SHARING PLAN 2015 650104088 2016-10-01 MOBILE IMAGING OF ST. LUCIE COUNTY, INC. 4
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 7725699729
Plan sponsor’s address P.O. BOX 650571, VERO BEACH, FL, 32965

Signature of
Role Plan administrator
Date 2016-10-01
Name of individual signing ROSANNA CRAWFORD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-01
Name of individual signing ROSANNA CRAWFORD
Valid signature Filed with authorized/valid electronic signature
MOBILE IMAGING OF ST. LUCIE COUNTY, INC. 401(K) PROFIT SHARING PLAN 2014 650104088 2015-08-29 MOBILE IMAGING OF ST. LUCIE COUNTY, INC. 4
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 7725699729
Plan sponsor’s address P.O. BOX 650571, VERO BEACH, FL, 32965

Signature of
Role Plan administrator
Date 2015-08-29
Name of individual signing ROSANNA CRAWFORD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-08-29
Name of individual signing ROSANNA CRAWFORD
Valid signature Filed with authorized/valid electronic signature
MOBILE IMAGING OF ST. LUCIE COUNTY, INC. 401(K) PROFIT SHARING PLAN 2013 650104088 2014-09-25 MOBILE IMAGING OF ST. LUCIE COUNTY, INC. 4
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 7725699729
Plan sponsor’s address P.O. BOX 650571, VERO BEACH, FL, 32965

Signature of
Role Plan administrator
Date 2014-09-25
Name of individual signing ROSANNA CRAWFORD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-09-25
Name of individual signing ROSANNA CRAWFORD
Valid signature Filed with authorized/valid electronic signature
MOBILE IMAGING OF ST. LUCIE COUNTY, INC. 401(K) PROFIT SHARING PLAN 2012 650104088 2013-10-01 MOBILE IMAGING OF ST. LUCIE COUNTY, INC. 4
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 7725699729
Plan sponsor’s address P.O. BOX 650571, VERO BEACH, FL, 32965

Signature of
Role Plan administrator
Date 2013-09-28
Name of individual signing ROSANNA CRAWFORD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-09-28
Name of individual signing ROSANNA CRAWFORD
Valid signature Filed with authorized/valid electronic signature
MOBILE IMAGING OF ST. LUCIE COUNTY, INC. 401(K) PROFIT SHARING PLAN 2011 650104088 2012-05-21 MOBILE IMAGING OF ST. LUCIE COUNTY, INC. 4
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 7725699729
Plan sponsor’s address P.O. BOX 650571, VERO BEACH, FL, 32965

Plan administrator’s name and address
Administrator’s EIN 650104088
Plan administrator’s name MOBILE IMAGING OF ST. LUCIE COUNTY, INC.
Plan administrator’s address P.O. BOX 650571, VERO BEACH, FL, 32965
Administrator’s telephone number 7725699729

Signature of
Role Plan administrator
Date 2012-05-18
Name of individual signing ROSANNA CRAWFORD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-05-18
Name of individual signing ROSANNA CRAWFORD
Valid signature Filed with authorized/valid electronic signature
MOBILE IMAGING OF ST. LUCIE COUNTY, INC. 401(K) PROFIT SHARING PLAN 2010 650104088 2011-06-16 MOBILE IMAGING OF ST. LUCIE COUNTY, INC. 4
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 7725699729
Plan sponsor’s address P.O. BOX 650571, VERO BEACH, FL, 32965

Plan administrator’s name and address
Administrator’s EIN 650104088
Plan administrator’s name MOBILE IMAGING OF ST. LUCIE COUNTY, INC.
Plan administrator’s address P.O. BOX 650571, VERO BEACH, FL, 32965
Administrator’s telephone number 7725699729

Signature of
Role Plan administrator
Date 2011-06-16
Name of individual signing ROSANNA CRAWFORD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-06-16
Name of individual signing ROSANNA CRAWFORD
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
CRAWFORD, KEN Agent 120 66 AVE. S.W., VERO BEACH, FL 32968

President

Name Role Address
CRAWFORD, KEN President 120 66TH AVE S.W., VERO BEACH, FL 32968

Vice President

Name Role Address
CRAWFORD, ROSANNA Vice President 120 66TH AVE S.W., VERO BEACH, FL 32968

Secretary

Name Role Address
CRAWFORD, ROSANNA Secretary 120 66TH AVE S.W., VERO BEACH, FL 32968

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2018-04-09 No data No data
CHANGE OF PRINCIPAL ADDRESS 1998-02-17 120 66TH AVE S.W., VERO BEACH, FL 32968 No data
REGISTERED AGENT NAME CHANGED 1998-02-17 CRAWFORD, KEN No data
REGISTERED AGENT ADDRESS CHANGED 1998-02-17 120 66 AVE. S.W., VERO BEACH, FL 32968 No data
CHANGE OF MAILING ADDRESS 1997-01-27 120 66TH AVE S.W., VERO BEACH, FL 32968 No data

Documents

Name Date
ANNUAL REPORT 2017-01-21
ANNUAL REPORT 2016-01-22
ANNUAL REPORT 2015-01-11
ANNUAL REPORT 2014-01-08
ANNUAL REPORT 2013-01-15
ANNUAL REPORT 2012-01-09
ANNUAL REPORT 2011-01-08
ANNUAL REPORT 2010-01-04
ANNUAL REPORT 2009-01-14
ANNUAL REPORT 2008-01-06

Related by officers

CRAWFORD, KEN

HARBORVIEW AT HARBOR ISLANDS ASSOCIATION, INC.

CRAWFORD, ROSANNA

FLORIDA ALLIANCE OF PORTABLE X-RAY PROVIDERS, L.C.

Related by address

No related companies by address

Date of last update: 03 Feb 2025

Sources: Florida Department of State

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