| Entity Name: | INSTITUTE OF DIAGNOSTIC IMAGING, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
INSTITUTE OF DIAGNOSTIC IMAGING, L.L.C. is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 02 Jun 2003 (22 years ago) |
| Date of dissolution: | 23 Sep 2022 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (3 years ago) |
| Document Number: | L03000019697 |
| FEI/EIN Number |
030520275
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 424 RACETRACK RD NW., FORT WALTON BEACH, FL, 32547 |
| Mail Address: | 424 RACETRACK RD NW., FORT WALTON BEACH, FL, 32547 |
| ZIP code: | 32547 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982670022 | 2006-02-28 | 2014-06-20 | 424 RACETRACK RD NW, FORT WALTON BEACH, FL, 325471556, US | 424 RACETRACK RD NW, FT WALTON BEACH, FL, 325471556, US | |||||||||||||||||||||||||||||||
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| Phone | +1 850-314-7575 |
| Fax | 8503147494 |
Authorized person
| Name | LAURIE BORGSTROM |
| Role | OFFICE MANAGER |
| Phone | 8503147575 |
Taxonomy
| Taxonomy Code | 2085R0202X - Diagnostic Radiology Physician |
| License Number | 602617 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | RAILROAD MEDICARE |
| Number | DB5733 |
| State | FL |
| Issuer | MEDICAID |
| Number | 268363600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| RIGGS BARRY F | Managing Member | 424 RACETRACK RD NW., FORT WALTON BEACH, FL, 32547 |
| ANCHORS C. LEDON | Agent | 909 MAR WALT DRIVE, SUITE 1014, FORT WALTON BEACH, FL, 32547 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | - | - |
| CHANGE OF MAILING ADDRESS | 2005-04-07 | 424 RACETRACK RD NW., FORT WALTON BEACH, FL 32547 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2004-04-01 | 424 RACETRACK RD NW., FORT WALTON BEACH, FL 32547 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2021-02-17 |
| ANNUAL REPORT | 2020-01-21 |
| ANNUAL REPORT | 2019-02-05 |
| ANNUAL REPORT | 2018-01-16 |
| ANNUAL REPORT | 2017-01-09 |
| ANNUAL REPORT | 2016-01-22 |
| ANNUAL REPORT | 2015-01-12 |
| ANNUAL REPORT | 2014-01-09 |
| ANNUAL REPORT | 2013-01-30 |
| ANNUAL REPORT | 2012-02-03 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 6878637110 | 2020-04-14 | 0491 | PPP | 424 Racetrack Rd. NW, FORT WALTON BEACH, FL, 32547 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Apr 2025
Sources: Florida Department of State
