| Entity Name: | PRESTIGE IMAGING, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 02 Jul 2004 (21 years ago) |
| Date of dissolution: | 30 Dec 2010 (14 years ago) |
| Last Event: | LC VOLUNTARY DISSOLUTION |
| Event Date Filed: | 30 Dec 2010 (14 years ago) |
| Document Number: | L04000050002 |
| FEI/EIN Number | 141911169 |
| Address: | 1435 S. OSPREY AVENUE, SUITE 201, SARASOTA, FL, 34239 |
| Mail Address: | PO BOX 25428, SARASOTA, FL, 34277 |
| ZIP code: | 34239 |
| County: | Sarasota |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578503165 | 2006-06-08 | 2009-03-05 | PO BOX 919028, ORLANDO, FL, 328919028, US | 2415 UNIVERSITY PKWY, UNIVERSITY HEALTH PARK, BUILING 3, SUITE 112, SARASOTA, FL, 342432809, US | |||||||||||||||||||||||||||||||||||||||
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| Phone | +1 727-793-9300 |
| Fax | 7277930052 |
| Phone | +1 941-487-2130 |
| Fax | 9414872138 |
Authorized person
| Name | DR. RICHARD JAY LICHTENSTEIN |
| Role | PRESIDENT |
| Phone | 9414872550 |
Taxonomy
| Taxonomy Code | 2085R0202X - Diagnostic Radiology Physician |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | V3087 |
| State | FL |
| Issuer | MEDICAID |
| Number | 273488500 |
| State | FL |
| Issuer | RR MEDICARE |
| Number | DE3457 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LICHTENSTEIN RICHARD J | Agent | 1435 S. OSPREY AVENUE, SARASOTA, FL, 34239 |
| Name | Role | Address |
|---|---|---|
| LICHTENSTEIN RICHARD J | Manager | PO BOX 25428, SARASOTA, FL, 34277 |
| SRUR MARCEL F | Manager | PO BOX 25428, SARASOTA, FL, 34277 |
| KUNBERGER LAURA E | Manager | PO BOX 25428, SARASOTA, FL, 34277 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC VOLUNTARY DISSOLUTION | 2010-12-30 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-01-05 | 1435 S. OSPREY AVENUE, SUITE 201, SARASOTA, FL 34239 | No data |
| REGISTERED AGENT NAME CHANGED | 2009-01-22 | LICHTENSTEIN, RICHARD JMD | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-01-22 | 1435 S. OSPREY AVENUE, SUITE 201, SARASOTA, FL 34239 | No data |
| CHANGE OF MAILING ADDRESS | 2009-01-09 | 1435 S. OSPREY AVENUE, SUITE 201, SARASOTA, FL 34239 | No data |
| NAME CHANGE AMENDMENT | 2004-07-08 | PRESTIGE IMAGING, LLC | No data |
| Name | Date |
|---|---|
| LC Voluntary Dissolution | 2010-12-30 |
| ANNUAL REPORT | 2010-01-05 |
| ANNUAL REPORT | 2009-01-22 |
| ANNUAL REPORT | 2009-01-09 |
| ANNUAL REPORT | 2008-03-28 |
| ANNUAL REPORT | 2007-03-29 |
| ANNUAL REPORT | 2006-04-11 |
| ANNUAL REPORT | 2005-03-28 |
| Name Change | 2004-07-08 |
| Florida Limited Liabilites | 2004-07-02 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
