| Entity Name: | NEUROSKELETAL IMAGING, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
NEUROSKELETAL 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. |
| 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: | 21 May 2013 (12 years ago) |
| Last Event: | MERGER |
| Event Date Filed: | 06 Nov 2013 (11 years ago) |
| Document Number: | L13000076058 |
| FEI/EIN Number |
80-0110465
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 709 S HARBOR CITY BLVD, MELBOURNE, FL, 32901, US |
| Mail Address: | PO BOX 400, MELBOURNE, FL, 32902, US |
| ZIP code: | 32901 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1922092279 | 2005-09-01 | 2024-04-23 | P.O. BOX 400, MELBOURNE, FL, 329015591, US | 1315 S ORANGE AVE, ORLANDO, FL, 328062145, US | |||||||||||||||||||||||||||||||
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| Phone | +1 321-409-9990 |
| Fax | 3219562165 |
| Phone | +1 407-999-9977 |
| Fax | 4079999988 |
Authorized person
| Name | MRS. LISA A FAUCETT |
| Role | BILLING MNGR |
| Phone | 3214099990 |
Taxonomy
| Taxonomy Code | 2085R0202X - Diagnostic Radiology Physician |
| Is Primary | No |
| Taxonomy Code | 2085R0202X - Diagnostic Radiology Physician |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 262084700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MAGEE THOMAS HM.D. | Manager | 709 S HARBOR CITY BLVD, MELBOURNE, FL, 32901 |
| WILLIAMS DAVID SM.D. | Manager | 709 S HARBOR CITY BLVD, MELBOURNE, FL, 32901 |
| RAMNATH R. RICHARD M.D. | Manager | 709 S HARBOR CITY BLVD, MELBOURNE, FL, 32901 |
| ANDERSON J. PATRICK | Agent | 2200 FRONT STREET, MELBOURNE, FL, 32901 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G13000066391 | NSI MERRITT ISLAND | ACTIVE | 2013-07-01 | 2028-12-31 | - | PO BOX 400, MELBOURNE, FL, 32902 |
| G13000066397 | NSI MELBOURNE | ACTIVE | 2013-07-01 | 2028-12-31 | - | PO BOX 400, MELBOURNE, FL, 32902 |
| G13000066402 | NSI VIERA | EXPIRED | 2013-07-01 | 2018-12-31 | - | P.O. BOX 400, MELBOURNE, FL, 32902 |
| G13000066404 | NSI ORLANDO | ACTIVE | 2013-07-01 | 2028-12-31 | - | PO BOX 400, MELBOURNE, FL, 32902 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-05-16 | 709 S HARBOR CITY BLVD, SUITE 100, MELBOURNE, FL 32901 | - |
| CHANGE OF MAILING ADDRESS | 2023-01-26 | 709 S HARBOR CITY BLVD, SUITE 100, MELBOURNE, FL 32901 | - |
| MERGER | 2013-11-06 | - | CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 2. MERGER NUMBER 700000135877 |
| CONVERSION | 2013-05-21 | - | GEN-COR CONVERSION RESULT. THE CONVERTING ENTITY WAS GP0500000275 ORIGINALLY FILED ON 01/20/2005. CONVERSION NUMBER 300000131933 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-07 |
| ANNUAL REPORT | 2024-02-02 |
| ANNUAL REPORT | 2023-01-26 |
| ANNUAL REPORT | 2022-01-20 |
| ANNUAL REPORT | 2021-01-13 |
| ANNUAL REPORT | 2020-03-20 |
| ANNUAL REPORT | 2019-02-06 |
| ANNUAL REPORT | 2018-03-16 |
| ANNUAL REPORT | 2017-01-09 |
| ANNUAL REPORT | 2016-03-28 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 5435187102 | 2020-04-13 | 0455 | PPP | 2222 S HARBOR CITY BLVD STE 520, MELBOURNE, FL, 32901-5527 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Mar 2025
Sources: Florida Department of State
