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EAST CENTRAL FLORIDA OUTPATIENT IMAGING, LLC - Florida Company Profile

Company Details

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.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company 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: 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

National Provider Identifier

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

Contacts

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

form 5500

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
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 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
EAST CENTRAL FLORIDA OUTPATIENT IMAGING, LLC RETIREMENT PLAN AND TRUST 2011 200702282 2012-07-23 EAST CENTRAL FLORIDA OUTPATIENT IMAGING, LLC 177
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
EAST CENTRAL FLORIDA OUTPATIENT IMAGING, LLC RETIREMENT PLAN AND TRUST 2010 200702282 2011-08-24 EAST CENTRAL FLORIDA OUTPATIENT IMAGING, LLC 172
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
EAST CENTRAL FLORIDA OUTPATIENT IMAGING, LLC RETIREMENT PLAN AND TRUST 2009 200702282 2010-09-13 EAST CENTRAL FLORIDA OUTPATIENT IMAGING, LLC 174
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

Key Officers & Management

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

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
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
G22000156796 RADIOLOGY ASSOCIATES DAYTONA BEACH SHORES ACTIVE 2022-12-20 2027-12-31 - 3048 S. ATLANTIC AVENUE, SUITE 102, DAYTONA BEACH, FL, 32118
G22000156800 RADIOLOGY ASSOCIATES NEW SMYRNA BEACH ACTIVE 2022-12-20 2027-12-31 - 1673 MASON AVENUE, SUITE 305, DAYTONA BEACH, FL, 32117
G22000156802 RADIOLOGY ASSOCIATES DELTONA ACTIVE 2022-12-20 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
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
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

Events

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 -

Documents

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

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5266617000 2020-04-05 0491 PPP 1673 Mason Ave Suite 305, DAYTONA BEACH, FL, 32117-4546
Loan Status Date 2021-07-09
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 2151000
Loan Approval Amount (current) 2150700
Undisbursed Amount 0
Franchise Name -
Lender Location ID 19595
Servicing Lender Name Ameris Bank
Servicing Lender Address 3490 Piedmont Rd NE, Ste 124, ATLANTA, GA, 30305
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address DAYTONA BEACH, VOLUSIA, FL, 32117-4546
Project Congressional District FL-06
Number of Employees 250
NAICS code 621511
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 19595
Originating Lender Name Ameris Bank
Originating Lender Address ATLANTA, GA
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 2174976.39
Forgiveness Paid Date 2021-06-11

Date of last update: 01 Mar 2025

Sources: Florida Department of State