| Entity Name: | DIVERSITY MRI LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
DIVERSITY MRI 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: | 14 Aug 2017 (8 years ago) |
| Document Number: | L17000172498 |
| FEI/EIN Number |
82-2469834
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 801 S. University Drive, Plantation, FL, 33324, US |
| Mail Address: | 801 S. UNIVERSITY DRIVE,, PLANTATION, FL, 33324, US |
| ZIP code: | 33324 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1346746179 | 2018-04-02 | 2024-06-21 | 801 S UNIVERSITY DR STE K103A, PLANTATION, FL, 333243367, US | 801 S UNIVERSITY DR STE K103A, PLANTATION, FL, 333243367, US | |||||||||||||||||||||||||||||||||||
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| Phone | +1 954-905-7217 |
| Fax | 9549057218 |
| Fax | 9549057217 |
Authorized person
| Name | JOSHUA A RUSKIN |
| Role | OWNER |
| Phone | 9543472242 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| License Number | L17000172498 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 261QM1200X - Magnetic Resonance Imaging (MRI) Clinic/Center |
| License Number | L17000172498 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 121391600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| RUSKIN JOSHUA A | Manager | 801 S. University Drive, Plantation, FL, 33324 |
| BRACERAS WILFRED | Chief Financial Officer | 801 S. University Drive, Plantation, FL, 33324 |
| JOSHUA RUSKIN A | Agent | 801 S. University Drive, Plantation, FL, 33324 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-03-02 | JOSHUA , RUSKIN ALLAN | - |
| CHANGE OF PRINCIPAL ADDRESS | 2018-05-04 | 801 S. University Drive, Suite# K103A, Plantation, FL 33324 | - |
| CHANGE OF MAILING ADDRESS | 2018-05-04 | 801 S. University Drive, Suite# K103A, Plantation, FL 33324 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2018-05-04 | 801 S. University Drive, Suite# K103A, Plantation, FL 33324 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-11 |
| ANNUAL REPORT | 2024-03-06 |
| ANNUAL REPORT | 2023-03-02 |
| ANNUAL REPORT | 2022-04-11 |
| ANNUAL REPORT | 2021-02-02 |
| ANNUAL REPORT | 2020-04-13 |
| ANNUAL REPORT | 2019-01-11 |
| AMENDED ANNUAL REPORT | 2018-05-04 |
| ANNUAL REPORT | 2018-04-06 |
| Florida Limited Liability | 2017-08-14 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 8156017305 | 2020-05-01 | 0455 | PPP | 801 S UNIVERSITY DR STE K103A, PLANTATION, FL, 33324-3367 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 03 Apr 2025
Sources: Florida Department of State
