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 | |||||||||||||||||||||||||||||||
|
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