| Entity Name: | INTERVENTIONAL RADIOLOGY ASSOCIATES OF TAMPA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 01 Mar 2011 (14 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 11 Jul 2018 (7 years ago) |
| Document Number: | L11000025364 |
| FEI/EIN Number | 27-5233957 |
| Address: | 2700 UNIVERSITY SQUARE DRIVE, TAMPA, FL 33612 |
| Mail Address: | 2700 UNIVERSITY SQUARE DRIVE, TAMPA, FL 33612 |
| ZIP code: | 33612 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1417246547 | 2011-03-29 | 2016-07-19 | 2700 UNIVERSITY SQUARE DR, FLORIDA INTERVENTIONAL SPECIALISTS (T&C), TAMPA, FL, 336125513, US | 6001 WEBB RD, TOWN & COUNTRY HOSPITAL, RADIOLOGY DEPT, TAMPA, FL, 336153241, US | |||||||||||||||||||||||||||||
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| Phone | +1 813-251-5822 |
| Phone | +1 813-888-7060 |
| Fax | 8132532299 |
Authorized person
| Name | MR. MICHAEL LOMBARDI |
| Role | BILLING DIRECTOR |
| Phone | 8132532721 |
Taxonomy
| Taxonomy Code | 2085R0202X - Diagnostic Radiology Physician |
| License Number | HCC6551 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 2085R0204X - Vascular & Interventional Radiology Physician |
| License Number | HCC6551 |
| State | FL |
| Is Primary | No |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role |
|---|---|
| RADIOLOGY ASSOCIATES OF TAMPA, P.A. | Manager |
| Name | Role | Address |
|---|---|---|
| Kottler MD, Nina | Authorized Representative | 2330 Utah Ave, Suite 200 El Segundo, CA 90245 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G11000031645 | FLORIDA INTERVENTIONAL SPECIALISTS | EXPIRED | 2011-03-30 | 2016-12-31 | No data | 2700 UNIVERSITY SQUARE DRIVE, TAMPA, FL, 33612-5513 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2018-07-11 | 2700 UNIVERSITY SQUARE DRIVE, TAMPA, FL 33612 | No data |
| REGISTERED AGENT NAME CHANGED | 2018-07-11 | CORPORATION SERVICE COMPANY | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-07-11 | 1201 HAYS STREET, Tallahassee, FL 32301 | No data |
| LC STMNT OF RA/RO CHG | 2018-07-11 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2018-07-11 | 2700 UNIVERSITY SQUARE DRIVE, TAMPA, FL 33612 | No data |
| REINSTATEMENT | 2014-02-21 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-26 |
| ANNUAL REPORT | 2024-02-22 |
| ANNUAL REPORT | 2023-02-22 |
| ANNUAL REPORT | 2022-04-25 |
| ANNUAL REPORT | 2021-04-26 |
| ANNUAL REPORT | 2020-04-18 |
| ANNUAL REPORT | 2019-04-30 |
| CORLCRACHG | 2018-07-11 |
| ANNUAL REPORT | 2018-03-16 |
| ANNUAL REPORT | 2017-03-31 |
Date of last update: 23 Feb 2025
Sources: Florida Department of State
