| Entity Name: | EAST CENTRAL FLORIDA OUTPATIENT IMAGING, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
EAST CENTRAL FLORIDA OUTPATIENT IMAGING, 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: |
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: | 06 Feb 2004 (21 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 28 Sep 2012 (12 years ago) |
| Document Number: | L04000010431 |
| FEI/EIN Number |
200702282
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1673 MASON AVE, SUITE 305, DAYTONA BEACH, FL, 32117, US |
| Mail Address: | PO BOX 48, DAYTONA BEACH, FL, 32115 |
| ZIP code: | 32117 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1083283055 | 2021-06-23 | 2021-06-23 | PO BOX 678454, DALLAS, TX, 752678454, US | 5440 S WILLIAMSON BLVD, PORT ORANGE, FL, 32117, US | |||||||||||||||
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| Phone | +1 800-475-6112 |
| Phone | +1 386-274-7118 |
Authorized person
| Name | AL FALCO |
| Role | CEO |
| Phone | 3862747118 |
Taxonomy
| Taxonomy Code | 2085R0202X - Diagnostic Radiology Physician |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| EAST CENTRAL FLORIDA OUTPATIENT IMAGING, LLC RETIREMENT PLAN AND TRUST | 2012 | 200702282 | 2013-07-31 | EAST CENTRAL FLORIDA OUTPATIENT IMAGING, LLC | 139 | |||||||||||||||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 200702282 |
| Plan administrator’s name | EAST CENTRAL FLORIDA OUTPATIENT IMAGING, LLC |
| Plan administrator’s address | 1673 MASON AVENUE, SUITE 305, DAYTONA BEACH, FL, 32115 |
| Administrator’s telephone number | 3862747118 |
Number of participants as of the end of the plan year
| Active participants | 139 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 6 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
| Number of participants with account balances as of the end of the plan year | 144 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2 |
Signature of
| Role | Plan administrator |
| Date | 2013-07-31 |
| Name of individual signing | AL FALCO |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2004-02-06 |
| Business code | 621498 |
| Sponsor’s telephone number | 3862747118 |
| Plan sponsor’s mailing address | 1673 MASON AVENUE, SUITE 305, DAYTONA BEACH, FL, 32115 |
| Plan sponsor’s address | 1673 MASON AVENUE, SUITE 305, DAYTONA BEACH, FL, 32115 |
Plan administrator’s name and address
| Administrator’s EIN | 200702282 |
| Plan administrator’s name | EAST CENTRAL FLORIDA OUTPATIENT IMAGING, LLC |
| Plan administrator’s address | 1673 MASON AVENUE, SUITE 305, DAYTONA BEACH, FL, 32115 |
| Administrator’s telephone number | 3862747118 |
Number of participants as of the end of the plan year
| Active participants | 130 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 9 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
| Number of participants with account balances as of the end of the plan year | 136 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 5 |
Signature of
| Role | Plan administrator |
| Date | 2012-07-23 |
| Name of individual signing | AL FALCO |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2004-02-06 |
| Business code | 621498 |
| Sponsor’s telephone number | 3862747118 |
| Plan sponsor’s mailing address | 1673 MASON AVENUE, SUITE 305, DAYTONA BEACH, FL, 32115 |
| Plan sponsor’s address | 1673 MASON AVENUE, SUITE 305, DAYTONA BEACH, FL, 32115 |
Plan administrator’s name and address
| Administrator’s EIN | 200702282 |
| Plan administrator’s name | EAST CENTRAL FLORIDA OUTPATIENT IMAGING, LLC |
| Plan administrator’s address | 1673 MASON AVENUE, SUITE 305, DAYTONA BEACH, FL, 32115 |
| Administrator’s telephone number | 3862747118 |
Number of participants as of the end of the plan year
| Active participants | 135 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 35 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
| Number of participants with account balances as of the end of the plan year | 163 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 11 |
Signature of
| Role | Plan administrator |
| Date | 2011-08-24 |
| Name of individual signing | AL FALCO |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2004-02-06 |
| Business code | 621498 |
| Sponsor’s telephone number | 3862747118 |
| Plan sponsor’s mailing address | 1673 MASON AVENUE, SUITE 305, DAYTONA BEACH, FL, 32115 |
| Plan sponsor’s address | EAST CENTRAL FLORIDA OUTPATIENT IMA, 1673 MASON AVENUE, SUITE 305, DAYTONA BEACH, FL, 32115 |
Plan administrator’s name and address
| Administrator’s EIN | 200702282 |
| Plan administrator’s name | EAST CENTRAL FLORIDA OUTPATIENT IMAGING, LLC |
| Plan administrator’s address | 1673 MASON AVENUE, SUITE 305, DAYTONA BEACH, FL, 32115 |
| Administrator’s telephone number | 3862747118 |
Number of participants as of the end of the plan year
| Active participants | 141 |
| Other retired or separated participants entitled to future benefits | 30 |
| Number of participants with account balances as of the end of the plan year | 164 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 10 |
Signature of
| Role | Plan administrator |
| Date | 2010-09-13 |
| Name of individual signing | AL FALCO |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Carroll John | President | 1673 MASON AVE, DAYTONA BEACH, FL, 32117 |
| Adams Lisa | Chief Executive Officer | 1673 MASON AVE, DAYTONA BEACH, FL, 32117 |
| Adams Lisa | Agent | 1673 MASON AVE, DAYTONA BEACH, FL, 32117 |
| RADIOLOGY IMAGING ASSOC, LLLP | Managing Member | 1673 MASON AVE, STE 305, DAYTONA BEACH, FL, 32117 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G25000034364 | ST AUGUSTINE IMAGING CENTER | ACTIVE | 2025-03-10 | 2030-12-31 | - | 1673 MASON AVENUE, SUITE 305, DAYTONA BEACH, FL, 32117 |
| G25000034361 | PALM COAST IMAGING CENTER | ACTIVE | 2025-03-10 | 2030-12-31 | - | 1673 MASON AVENUE, SUITE 305, DAYTONA BEACH, FL, 32117 |
| G24000100202 | INTERVENTIONAL SPECIALISTS OF FLORIDA | ACTIVE | 2024-08-22 | 2029-12-31 | - | 3048 S. ATLANTIC AVENUE, SUITE 102, DAYTONA BEACH SHORES, FL, 32118 |
| G22000157495 | RADIOLOGY ASSOCIATES PALM COAST | ACTIVE | 2022-12-21 | 2027-12-31 | - | 1673 MASON AVENUE, SUITE 305, DAYTONA BEACH, FL, 32117 |
| G22000156787 | RADIOLOGY ASSOCIATES ST. AUGUSTINE | ACTIVE | 2022-12-20 | 2027-12-31 | - | 1673 MASON AVENUE, SUITE 305, DAYTONA BEACH, FL, 32117 |
| G22000156774 | RADIOLOGY ASSOCIATES TWIN LAKES | ACTIVE | 2022-12-20 | 2027-12-31 | - | 1673 MASON AVENUE, SUITE 305, DAYTONA BEACH, FL, 32117 |
| G22000156785 | RADIOLOGY ASSOCIATES TOWN CENTER | ACTIVE | 2022-12-20 | 2027-12-31 | - | 1673 MASON AVENUE, SUITE 305, DAYTONA BEACH, FL, 32117 |
| G22000156791 | RADIOLOGY ASSOCIATES PORT ORANGE | ACTIVE | 2022-12-20 | 2027-12-31 | - | 1673 MASON AVENUE, SUITE 305, DAYTONA BEACH, FL, 32117 |
| G22000156795 | RADIOLOGY ASSOCIATES PORT ORANGE WEST | ACTIVE | 2022-12-20 | 2027-12-31 | - | 1673 MASON AVENUE, SUITE 305, DAYTONA BEACH, FL, 32117 |
| G22000156796 | RADIOLOGY ASSOCIATES DAYTONA BEACH SHORES | ACTIVE | 2022-12-20 | 2027-12-31 | - | 3048 S. ATLANTIC AVENUE, SUITE 102, DAYTONA BEACH, FL, 32118 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2020-05-21 | Adams, Lisa | - |
| REGISTERED AGENT ADDRESS CHANGED | 2017-05-03 | 1673 MASON AVE, SUITE 305, DAYTONA BEACH, FL 32117 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2015-03-06 | 1673 MASON AVE, SUITE 305, DAYTONA BEACH, FL 32117 | - |
| LC AMENDMENT | 2012-09-28 | - | - |
| CHANGE OF MAILING ADDRESS | 2012-04-23 | 1673 MASON AVE, SUITE 305, DAYTONA BEACH, FL 32117 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-28 |
| AMENDED ANNUAL REPORT | 2024-10-02 |
| ANNUAL REPORT | 2024-03-26 |
| ANNUAL REPORT | 2023-04-27 |
| ANNUAL REPORT | 2022-02-25 |
| ANNUAL REPORT | 2021-04-06 |
| ANNUAL REPORT | 2020-05-21 |
| ANNUAL REPORT | 2019-04-16 |
| ANNUAL REPORT | 2018-04-19 |
| AMENDED ANNUAL REPORT | 2017-05-03 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 5266617000 | 2020-04-05 | 0491 | PPP | 1673 Mason Ave Suite 305, DAYTONA BEACH, FL, 32117-4546 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Mar 2025
Sources: Florida Department of State
