| Entity Name: | GULF COAST HEALTH SYSTEM IMAGING, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 30 Jan 2017 (8 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 08 Jun 2020 (5 years ago) |
| Document Number: | L17000023290 |
| FEI/EIN Number | 82-0614443 |
| Address: | 3024 BUSINESS PARK CIRCLE, GOODLETTSVILLE, TN, 37072 |
| Mail Address: | 3024 BUSINESS PARK CIRCLE, GOODLETTSVILLE, TN, 37072 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1497296081 | 2017-03-15 | 2017-03-15 | 1642 WESTGATE CIR STE 202, BRENTWOOD, TN, 370278195, US | 4033 GULF BREEZE PARKWAY, GULF BREEZE, FL, 32561, US | |||||||||||||||||||||
|
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| Phone | +1 615-974-1972 |
Authorized person
| Name | MR. RYAN DOUGLAS BROWN |
| Role | GENERAL COUNSEL |
| Phone | 6159741972 |
Taxonomy
| Taxonomy Code | 261QM1200X - Magnetic Resonance Imaging (MRI) Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QR0200X - Radiology Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 261QR0206X - Mammography Clinic/Center |
| Is Primary | No |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role |
|---|---|
| OPTIMAL GULF COAST, LLC | Manager |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000064366 | OPTIMAL IMAGING - SACRED HEART HEALTH SYSTEM | ACTIVE | 2017-06-10 | 2027-12-31 | No data | 3024 BUSINESS PARK CIRCLE, GOODLETTSVILLE, TN, 37027 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-22 | 1201 HAYS STREET, TALLAHASSEE, FL 32301-2525 | No data |
| LC STMNT OF RA/RO CHG | 2020-06-08 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-06-08 | 3024 BUSINESS PARK CIRCLE, GOODLETTSVILLE, TN 37072 | No data |
| CHANGE OF MAILING ADDRESS | 2020-06-08 | 3024 BUSINESS PARK CIRCLE, GOODLETTSVILLE, TN 37072 | No data |
| REGISTERED AGENT NAME CHANGED | 2020-06-08 | CORPORATION SERVICE COMPANY | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-22 |
| ANNUAL REPORT | 2023-02-22 |
| ANNUAL REPORT | 2022-04-22 |
| ANNUAL REPORT | 2021-04-08 |
| ANNUAL REPORT | 2020-06-11 |
| CORLCRACHG | 2020-06-08 |
| ANNUAL REPORT | 2019-02-21 |
| ANNUAL REPORT | 2018-09-19 |
| Florida Limited Liability | 2017-01-30 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
