| Entity Name: | EXCEL DIAGNOSTIC SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
EXCEL DIAGNOSTIC SERVICES, LLC 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: | 26 Jan 2004 (21 years ago) |
| Date of dissolution: | 20 Aug 2012 (13 years ago) |
| Last Event: | LC VOLUNTARY DISSOLUTION |
| Event Date Filed: | 20 Aug 2012 (13 years ago) |
| Document Number: | L04000009949 |
| FEI/EIN Number |
800096450
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1109 DARLINGTON OAK DR. N.E., ST. PETERSBURG, FL, 33703 |
| Mail Address: | 1109 DARLINGTON OAK DR. N.E., ST. PETERSBURG, FL, 33703 |
| ZIP code: | 33703 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194729665 | 2005-06-12 | 2007-09-18 | 1109 DARLINGTON OAK DR NE, ST PETERSBURG, FL, 337036314, US | 1109 DARLINGTON OAK DR NE, ST PETERSBURG, FL, 337036314, US | |||||||||||||||||||||||||||||||
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| Phone | +1 727-521-0129 |
| Fax | 7275210130 |
Authorized person
| Name | MR. PREM D JAGERNAUTH |
| Role | MANAGER |
| Phone | 7275210129 |
Taxonomy
| Taxonomy Code | 293D00000X - Physiological Laboratory |
| License Number | HCC5616 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AETNA |
| Number | 3580285 |
| State | FL |
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | V2896 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| JAGERNAUTH PREM D | Manager | 1109 DARLINGTON OAK DR NE, ST PETERSBURG, FL, 33703 |
| JAGERNAUTH PREM DANNY | Agent | 1109 DARLINGTON OAK DR. N.E., ST. PETERSBURG, FL, 33703 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC VOLUNTARY DISSOLUTION | 2012-08-20 | - | - |
| Name | Date |
|---|---|
| LC Voluntary Dissolution | 2012-08-20 |
| ANNUAL REPORT | 2012-01-15 |
| ANNUAL REPORT | 2011-01-09 |
| ANNUAL REPORT | 2010-01-07 |
| ANNUAL REPORT | 2009-03-01 |
| ANNUAL REPORT | 2008-03-02 |
| ANNUAL REPORT | 2007-01-07 |
| ANNUAL REPORT | 2006-01-07 |
| ANNUAL REPORT | 2005-01-16 |
| Florida Limited Liabilites | 2004-01-26 |
Date of last update: 03 Apr 2025
Sources: Florida Department of State
