| Entity Name: | SUMMERLIN IMAGING CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 08 Nov 2002 (22 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 09 Sep 2019 (5 years ago) |
| Document Number: | L02000029942 |
| FEI/EIN Number | 542083178 |
| Address: | 20 BARKLEY CIRCLE, SUITE 104, FORT MYERS, FL, 33907, US |
| Mail Address: | 6415 LAKE WORTH RD, SUITE 102, GREENACRES, FL, 33463, US |
| ZIP code: | 33907 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1124654405 | 2020-03-18 | 2020-03-27 | 6415 LAKE WORTH RD STE 102, GREENACRES, FL, 334633009, US | 7520 W UNIVERSITY AVE STE D, GAINESVILLE, FL, 326077612, US | |||||||||||||||||||
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| Phone | +1 561-331-0808 |
| Fax | 5612376034 |
| Phone | +1 904-375-8884 |
| Fax | 9043758887 |
Authorized person
| Name | BRADFORD G PETERS |
| Role | FINANCIAL OFFICER |
| Phone | 5613310808 |
Taxonomy
| Taxonomy Code | 2085R0202X - Diagnostic Radiology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Covington Michele Admin | Agent | 20 BARKLEY CIRCLE, FORT MYERS, FL, 33907 |
| Name | Role |
|---|---|
| BLACKFIN CAPITAL, LLC | Owne |
| PREMIER REVENUE PARTNERS, LLC | Owne |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000033920 | GAINESVILLE DIAGNOSTIC IMAGING | ACTIVE | 2020-03-19 | 2025-12-31 | No data | 6415 LAKE WORTH RD, SUITE 102, LAKE WORTH, FL, 33463 |
| G19000105874 | JACKSONVILLE DIAGNOSTIC IMAGING | ACTIVE | 2019-09-27 | 2029-12-31 | No data | 6415 LAKE WORTH RD STE 102, GREENACRES, FL, 33463 |
| G16000004151 | PARK AVENUE IMAGING | ACTIVE | 2016-01-11 | 2026-12-31 | No data | 6415 LAKE WORTH RD, SUITE 102, LAKE WORTH, FL, 33463 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-01-17 | Covington, Michele, Admin | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-17 | 20 BARKLEY CIRCLE, SUITE 104, FORT MYERS, FL 33907 | No data |
| CHANGE OF MAILING ADDRESS | 2022-04-01 | 20 BARKLEY CIRCLE, SUITE 104, FORT MYERS, FL 33907 | No data |
| LC STMNT OF RA/RO CHG | 2019-09-09 | No data | No data |
| LC AMENDED AND RESTATED ARTICLES | 2019-07-15 | No data | No data |
| REINSTATEMENT | 2011-01-19 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2005-02-09 | 20 BARKLEY CIRCLE, SUITE 104, FORT MYERS, FL 33907 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-15 |
| ANNUAL REPORT | 2024-01-15 |
| AMENDED ANNUAL REPORT | 2023-04-03 |
| ANNUAL REPORT | 2023-01-17 |
| ANNUAL REPORT | 2022-01-21 |
| ANNUAL REPORT | 2021-01-08 |
| AMENDED ANNUAL REPORT | 2020-08-10 |
| ANNUAL REPORT | 2020-01-23 |
| CORLCRACHG | 2019-09-09 |
| AMENDED ANNUAL REPORT | 2019-07-25 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 9896227004 | 2020-04-09 | 0455 | PPP | 20 Barkley Circle STE 104, FORT MYERS, FL, 33907-4545 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Feb 2025
Sources: Florida Department of State
