| Entity Name: | PINNACLE RADIOLOGY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
PINNACLE RADIOLOGY 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: | 19 Dec 2007 (17 years ago) |
| Date of dissolution: | 27 Sep 2013 (12 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2013 (12 years ago) |
| Document Number: | L07000125549 |
| FEI/EIN Number |
261596743
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 330 FIFTH AVE, INDIALANTIC, FL, 32903 |
| Mail Address: | 330 FIFTH AVE, INDIALANTIC, FL, 32903 |
| ZIP code: | 32903 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205006343 | 2008-03-05 | 2011-02-23 | PO BOX 881839, PORT ST LUCIE, FL, 349881839, US | 490 N WASHINGTON AVE, TITUSVILLE, FL, 327962871, US | |||||||||||||||||||||||
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| Phone | +1 727-896-3134 |
| Fax | 7706669330 |
| Phone | +1 321-268-4200 |
Authorized person
| Name | KENNETH S HAZLETT |
| Role | MANAGING MEMBER |
| Phone | 3217999172 |
Taxonomy
| Taxonomy Code | 2085R0202X - Diagnostic Radiology Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE PTAN |
| Number | AM098 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HILLEREN DAVID J | Managing Member | 330 FIFTH AVE, INDIALANTIC, FL, 32903 |
| BERGAU DIANE M | Managing Member | 330 FIFTH AVE, INDIALANTIC, FL, 32903 |
| GORDON DOUGLAS M | Managing Member | 330 FIFTH AVE, INDIALANTIC, FL, 32903 |
| HAZLETT KENNETH M | Managing Member | 330 FIFTH AVE, INDIALANTIC, FL, 32903 |
| FORREST DANIEL D | Managing Member | 330 FIFTH AVE, INDIALANTIC, FL, 32903 |
| HATTAWAY AARON J | Managing Member | 330 FIFTH AVE, INDIALANTIC, FL, 32903 |
| HILLEREN DAVID J | Agent | 330 FIFTH AVE, INDIALANTIC, FL, 32903 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2012-04-27 |
| ANNUAL REPORT | 2011-04-29 |
| ANNUAL REPORT | 2010-04-28 |
| ANNUAL REPORT | 2009-04-28 |
| Florida Limited Liability | 2007-12-19 |
Date of last update: 03 Apr 2025
Sources: Florida Department of State
