| Entity Name: | STAT MEDICAL IMAGING LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 25 Feb 2022 (3 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 16 Aug 2023 (2 years ago) |
| Document Number: | L22000101155 |
| FEI/EIN Number | 88-2513309 |
| Address: | 12915 CANOPY WOODS WAY, WINTER GARDEN, FL 34787 |
| Mail Address: | 12915 CANOPY WOODS WAY, WINTER GARDEN, FL 34787 |
| ZIP code: | 34787 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1295410504 | 2023-06-15 | 2023-09-12 | 6415 LAKE WORTH RD STE 102, GREENACRES, FL, 334633009, US | 2954 MALLORY CIR STE 104, CELEBRATION, FL, 347471822, US | |||||||||||||||||
|
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| Phone | +1 561-331-0808 |
Authorized person
| Name | DR. JEFFREY BERNFIELD |
| Role | CEO |
| Phone | 5613310808 |
Taxonomy
| Taxonomy Code | 2085R0202X - Diagnostic Radiology Physician |
| Is Primary | No |
| Taxonomy Code | 261QR0200X - Radiology Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SPRINGER, CHANDI | Agent | 12915 CANOPY WOODS WAY, WINTER GARDEN, FL 34787 |
| Name | Role | Address |
|---|---|---|
| BERNFIELD, JEFFREY B | Authorized Member | 1652 EAST COURSE DRIVE, RIVERWOODS, IL 60015 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2023-08-16 | No data | No data |
| LC ARTICLE OF CORR- ECTION/NAME CHANGE | 2022-07-21 | STAT MEDICAL IMAGING LLC | No data |
| LC NAME CHANGE | 2022-04-08 | STATE MEDICAL IMAGING LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-06-21 |
| LC Amendment | 2023-08-16 |
| ANNUAL REPORT | 2023-07-12 |
| LC Article of Correction/NC | 2022-07-21 |
| LC Name Change | 2022-04-08 |
| Florida Limited Liability | 2022-02-25 |
Date of last update: 12 Feb 2025
Sources: Florida Department of State
