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  5. IMPRESSION IMAGING LLC

IMPRESSION IMAGING LLC

Company Details

Entity Name: IMPRESSION IMAGING LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 30 Jan 2012 (13 years ago)
Document Number: L12000013573
FEI/EIN Number 45-4394576
Address: 7180 N UNIVERSITY DRIVE, TAMARAC, FL, 33321, US
Mail Address: 6853 SW 18TH STREET, BOCA RATON, FL, 33433, US
ZIP code: 33321
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1528714714 2022-02-25 2022-02-25 PO BOX 21422, NEW YORK, NY, 100871422, US 6853 SW 18TH ST STE M101, BOCA RATON, FL, 334337056, US

Contacts
Phone +1 954-580-2780
Phone +1 561-473-4610
Fax 9545802790

Authorized person
Name MICHAEL FAGIEN
Role MEDICAL DIRECTOR
Phone 9545802780

Taxonomy
Taxonomy Code 2085N0904X - Nuclear Radiology Physician
Is Primary No
Taxonomy Code 2085R0202X - Diagnostic Radiology Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
IMPRESSION IMAGING LLC CASH BALANCE PLAN 2023 454394576 2024-09-25 IMPRESSION IMAGING LLC 22
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 9545802780
Plan sponsor’s address 7180 N. UNIVERSITY DRIVE, TAMARAC, FL, 33321

Signature of
Role Plan administrator
Date 2024-09-25
Name of individual signing ZAKIYA FAGIEN
Valid signature Filed with authorized/valid electronic signature
IMPRESSION IMAGING LLC 401(K) PROFIT SHARING PLAN 2023 454394576 2024-08-13 IMPRESSION IMAGING LLC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 9545802780
Plan sponsor’s address 7180 N. UNIVERSITY DRIVE, TAMARAC, FL, 33321

Signature of
Role Plan administrator
Date 2024-08-13
Name of individual signing ZAKIYA FAGIEN
Valid signature Filed with authorized/valid electronic signature
IMPRESSION IMAGING LLC CASH BALANCE PLAN 2022 454394576 2023-10-11 IMPRESSION IMAGING LLC 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 9545802780
Plan sponsor’s address 7180 N. UNIVERSITY DRIVE, TAMARAC, FL, 33321

Signature of
Role Plan administrator
Date 2023-10-11
Name of individual signing ZAKIYA FAGIEN
Valid signature Filed with authorized/valid electronic signature
IMPRESSION IMAGING LLC 401(K) PROFIT SHARING PLAN 2022 454394576 2023-10-11 IMPRESSION IMAGING LLC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 9545802780
Plan sponsor’s address 7180 N. UNIVERSITY DRIVE, TAMARAC, FL, 33321

Signature of
Role Plan administrator
Date 2023-10-11
Name of individual signing ZAKIYA FAGIEN
Valid signature Filed with authorized/valid electronic signature
IMPRESSION IMAGING LLC 401(K) PROFIT SHARING PLAN 2021 454394576 2022-10-11 IMPRESSION IMAGING LLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 9545802780
Plan sponsor’s address 7180 N. UNIVERSITY DRIVE, TAMARAC, FL, 33321

Signature of
Role Plan administrator
Date 2022-10-11
Name of individual signing ZAKIYA FAGIEN
Valid signature Filed with authorized/valid electronic signature
IMPRESSION IMAGING LLC CASH BALANCE PLAN 2021 454394576 2022-07-28 IMPRESSION IMAGING LLC 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 9545802780
Plan sponsor’s address 7180 N. UNIVERSITY DRIVE, TAMARAC, FL, 33321

Signature of
Role Plan administrator
Date 2022-07-28
Name of individual signing ZAKIYA FAGIEN
Valid signature Filed with authorized/valid electronic signature
IMPRESSION IMAGING LLC CASH BALANCE PLAN 2020 454394576 2021-10-14 IMPRESSION IMAGING LLC 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 9545802780
Plan sponsor’s address 7180 N. UNIVERSITY DRIVE, TAMARAC, FL, 33321

Signature of
Role Plan administrator
Date 2021-10-14
Name of individual signing ZAKIYA FAGIEN
Valid signature Filed with authorized/valid electronic signature
IMPRESSION IMAGING LLC 401(K) PROFIT SHARING PLAN 2020 454394576 2021-09-15 IMPRESSION IMAGING LLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 9545802780
Plan sponsor’s address 7180 N. UNIVERSITY DRIVE, TAMARAC, FL, 33321

Signature of
Role Plan administrator
Date 2021-09-15
Name of individual signing ZAKIYA FAGIEN
Valid signature Filed with authorized/valid electronic signature
IMPRESSION IMAGING LLC 401(K) PROFIT SHARING PLAN 2019 454394576 2020-10-06 IMPRESSION IMAGING LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 9545802780
Plan sponsor’s address 7180 N. UNIVERSITY DRIVE, TAMARAC, FL, 33321

Signature of
Role Plan administrator
Date 2020-10-06
Name of individual signing ZAKIYA FAGIEN
Valid signature Filed with authorized/valid electronic signature
IMPRESSION IMAGING LLC CASH BALANCE PLAN 2019 454394576 2020-10-12 IMPRESSION IMAGING LLC 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 9545802780
Plan sponsor’s address 7180 N. UNIVERSITY DRIVE, TAMARAC, FL, 33321

Signature of
Role Plan administrator
Date 2020-10-12
Name of individual signing ZAKIYA FAGIEN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Fagien Michael Dr. Agent Impression Imaging LLC, Tamarac, FL, 33321

Managing Member

Name Role Address
FAGIEN MICHAEL Managing Member 7180 N UNIVERSITY DRIVE, TAMARAC, FL, 33321

Manager

Name Role Address
FAGIEN ZAKIYA Manager 7180 N UNIVERSITY DRIVE, TAMARAC, FL, 33321

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2023-09-15 7180 N UNIVERSITY DRIVE, TAMARAC, FL 33321 No data
REGISTERED AGENT NAME CHANGED 2015-01-14 Fagien, Michael, Dr. No data
REGISTERED AGENT ADDRESS CHANGED 2015-01-14 Impression Imaging LLC, 7180 N. University Drive, Tamarac, FL 33321 No data

Documents

Name Date
ANNUAL REPORT 2025-01-11
ANNUAL REPORT 2024-01-22
ANNUAL REPORT 2023-01-25
ANNUAL REPORT 2022-02-03
ANNUAL REPORT 2021-01-12
ANNUAL REPORT 2020-02-25
ANNUAL REPORT 2019-06-13
ANNUAL REPORT 2018-02-20
ANNUAL REPORT 2017-03-07
ANNUAL REPORT 2016-01-26

Related by officers

FAGIEN MICHAEL

RADREADS P.L.L.C. JAZZIZ FOUNDATION, INC. HEALTHTREK TECHNOLOGIES, LLC ADVANCED DIAGNOSTIC IMAGING OF FLORIDA, L.L.C. MUSIC.COM MAGAZINE, INC. JAZZIZ OF HOLLYWOOD, LTD. JAZZIZ GENERAL OF HOLLYWOOD, INC. JAZZIZ BISTRO HOLDINGS, INC. ADVANCED DIAGNOSTIC IMAGING PROFESSIONAL SERVICES, P.L.L.C. THE JAZZIZ MAGAZINE, INC.

FAGIEN ZAKIYA

BOCA LIFE PROPERTIES LLC HMI MEDICAL LEASING PARTNERS LLC JAZZIZ FOUNDATION, INC. EQUILEAP, LLC

Related by address

6853 SW 18TH STREET, BOCA RATON, FL, 33433, US

HAHN & GLICK CPAS, P.A.

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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