| Entity Name: | EXCEPTIONAL IMAGING CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
EXCEPTIONAL IMAGING CENTER, 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: | 07 Apr 2017 (8 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 10 Apr 2020 (5 years ago) |
| Document Number: | L17000078841 |
| FEI/EIN Number |
81-3733202
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 140 NE 119th Street, Miami, FL, 33161, US |
| Mail Address: | 140 NE 119th Street, Miami, FL, 33161, US |
| ZIP code: | 33161 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1144992025 | 2021-09-29 | 2022-03-14 | 8910 MIRAMAR PKWY STE 109, MIRAMAR, FL, 330254187, US | 8910 MIRAMAR PKWY STE 109, MIRAMAR, FL, 330254187, US | |||||||||||||||||||||||||
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| Phone | +1 305-801-3336 |
| Fax | 3053638446 |
Authorized person
| Name | LEDEANNA MCCOY |
| Role | RADIOLOGIST |
| Phone | 3058013336 |
Taxonomy
| Taxonomy Code | 2085R0202X - Diagnostic Radiology Physician |
| Is Primary | No |
| Taxonomy Code | 261QR0200X - Radiology Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | ME92013 |
| State | CA |
| Name | Role | Address |
|---|---|---|
| MCCOY LEDEANNA R | Chief Executive Officer | 1225 84th Ter, MIAMI, FL, 33147 |
| MCCOY LEDEANNA ROWNER | Agent | 1225 84th Ter, MIAMI, FL, 33147 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-06 | 140 NE 119th Street, Miami, FL 33161 | - |
| CHANGE OF MAILING ADDRESS | 2024-02-06 | 140 NE 119th Street, Miami, FL 33161 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2020-04-10 | 1225 84th Ter, MIAMI, FL 33147 | - |
| REINSTATEMENT | 2020-04-10 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | - | - |
| REINSTATEMENT | 2018-10-25 | - | - |
| REGISTERED AGENT NAME CHANGED | 2018-10-25 | MCCOY, LEDEANNA R, OWNER | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-03-19 |
| ANNUAL REPORT | 2022-01-19 |
| ANNUAL REPORT | 2021-01-26 |
| REINSTATEMENT | 2020-04-10 |
| REINSTATEMENT | 2018-10-25 |
| Florida Limited Liability | 2017-04-07 |
Date of last update: 01 Mar 2025
Sources: Florida Department of State
