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LAKESIDE EDX, LLC

Company Details

Entity Name: LAKESIDE EDX, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 27 Apr 2021 (4 years ago)
Date of dissolution: 17 Dec 2023 (a year ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 17 Dec 2023 (a year ago)
Document Number: L21000182365
FEI/EIN Number 86-3752776
Address: 495 GRAND BLVD STE 206, MIRAMAR BEACH, FL, 32550, US
Mail Address: 495 GRAND BLVD STE 206, MIRAMAR BEACH, FL, 32550, US
ZIP code: 32550
County: Walton
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1730763244 2021-05-11 2021-05-11 495 GRAND BLVD STE 206, MIRAMAR BEACH, FL, 325501897, US 495 GRAND BLVD STE 206, MIRAMAR BEACH, FL, 325501897, US

Contacts

Phone +1 800-416-1767

Authorized person

Name MR. THOMAS WINGER
Role MEMBER
Phone 8004161767

Taxonomy

Taxonomy Code 261QR0200X - Radiology Clinic/Center
Is Primary Yes

Agent

Name Role
CORPORATION SERVICE COMPANY Agent

Authorized Member

Name Role Address
WINGER THOMAS Authorized Member 1153 LINCOLN ST, GLENVIEW, IL, 60025

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2023-12-17 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 No data No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2023-12-17
Reg. Agent Resignation 2023-06-14
ANNUAL REPORT 2022-02-11
Florida Limited Liability 2021-04-27

Date of last update: 02 Feb 2025

Sources: Florida Department of State