| Entity Name: | PORTABLE MEDICAL DIAGNOSTICS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
PORTABLE MEDICAL DIAGNOSTICS, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| 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: | 22 Jun 1989 (36 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 19 Aug 2019 (6 years ago) |
| Document Number: | K97703 |
| FEI/EIN Number |
650134197
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 3540 FOREST HILL BLVD., WEST PALM BEACH, FL, 33406, US |
| Mail Address: | 3540 FOREST HILL BLVD., WEST PALM BEACH, FL, 33406, US |
| ZIP code: | 33406 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | PORTABLE MEDICAL DIAGNOSTICS, INC., MISSISSIPPI | 724166 | MISSISSIPPI |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891125936 | 2013-11-26 | 2024-04-04 | 3540 FOREST HILL BLVD STE 112, WEST PALM BEACH, FL, 334065878, US | 3540 FOREST HILL BLVD STE 112, WEST PALM BEACH, FL, 334065878, US | |||||||||||||||||||||||||||||||||||
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| Phone | +1 561-964-3311 |
| Fax | 5619643199 |
Authorized person
| Name | MR. ANDREW ROSEBROUGH |
| Role | VP, CFO |
| Phone | 5619643311 |
Taxonomy
| Taxonomy Code | 293D00000X - Physiological Laboratory |
| License Number | HCC4152 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 335V00000X - Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE PROVIDER NUMBER |
| Number | W9857 |
| State | FL |
| Issuer | MEDICAID |
| Number | 008374300 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PORTABLE MEDICAL DIAGNOSTICS 401(K) PLAN | 2023 | 650134197 | 2024-07-26 | PORTABLE MEDICAL DIAGNOSTICS | 40 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-07-26 |
| Name of individual signing | ANDREW ROSEBROUGH |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2022-01-01 |
| Business code | 621510 |
| Sponsor’s telephone number | 5619643311 |
| Plan sponsor’s address | 3540 FOREST HILL BLVD., SUITE 112, WEST PALM BEACH, FL, 33406 |
Signature of
| Role | Plan administrator |
| Date | 2023-10-12 |
| Name of individual signing | ANDREW ROSEBROUGH |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| ROSEBROUGH ANDREW | President | 3540 FOREST HILL BLVD., WEST PALM BEACH, FL, 33406 |
| ROSEBROUGH ANDREW | Secretary | 3540 FOREST HILL BLVD., WEST PALM BEACH, FL, 33406 |
| ROSEBROUGH ANDREW | Treasurer | 3540 FOREST HILL BLVD., WEST PALM BEACH, FL, 33406 |
| Andrew Rosebrough | Agent | 3540 FOREST HILL BLVD., WEST PALM BEACH, FL, 33406 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-01-17 | 3540 FOREST HILL BLVD., SUITE 112, WEST PALM BEACH, FL 33406 | - |
| CHANGE OF MAILING ADDRESS | 2020-01-17 | 3540 FOREST HILL BLVD., SUITE 112, WEST PALM BEACH, FL 33406 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2020-01-17 | 3540 FOREST HILL BLVD., SUITE 112, WEST PALM BEACH, FL 33406 | - |
| AMENDMENT | 2019-08-19 | - | - |
| REGISTERED AGENT NAME CHANGED | 2019-02-14 | Andrew , Rosebrough | - |
| REINSTATEMENT | 2013-10-08 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | - | - |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J12000400344 | LAPSED | 11-CA-019949 | PALM BEACH CIR CT | 2012-04-13 | 2017-05-10 | $110,481.75 | AMERICAN RADIOLOGIST METWORK INC, P.O. BOX 970, SIMI VALLEY, CA 93062 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-01 |
| ANNUAL REPORT | 2023-01-27 |
| ANNUAL REPORT | 2022-01-25 |
| ANNUAL REPORT | 2021-01-11 |
| ANNUAL REPORT | 2020-01-17 |
| Amendment | 2019-08-19 |
| AMENDED ANNUAL REPORT | 2019-02-14 |
| ANNUAL REPORT | 2019-02-04 |
| ANNUAL REPORT | 2018-01-09 |
| ANNUAL REPORT | 2017-01-06 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 7738397102 | 2020-04-14 | 0455 | PPP | 3540 Forest Hill Blvd Ste 112, WEST PALM BEACH, FL, 33406-5878 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Apr 2025
Sources: Florida Department of State
