Menu
Search icon

AURORA DIAGNOSTICS, LLC

Company Details

Entity Name: AURORA DIAGNOSTICS, LLC
Jurisdiction: FLORIDA
Filing Type: Foreign Limited Liability Company
Status: Active
Date Filed: 26 May 2006 (19 years ago)
Last Event: LC STMNT OF RA/RO CHG
Event Date Filed: 28 Aug 2015 (9 years ago)
Document Number: M06000002936
FEI/EIN Number 20-4846295
Address: 1355 River Bend Dr, Dallas, TX 75247
Mail Address: 1355 River Bend Dr, Dallas, TX 75247
Place of Formation: DELAWARE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1578754180 2007-08-08 2015-03-13 11025 RCA CENTER DRIVE, SUITE 300, PALM BEACH GARDENS, FL, 334104269, US 11025 RCA CENTER DRIVE, SUITE 300, PALM BEACH GARDENS, FL, 334104269, US

Contacts
Phone +1 561-626-5512
Fax 5616264530

Authorized person
Name BRUCE C. WALTON
Role COO/EXEC V.P.
Phone 5616265512

Taxonomy
Taxonomy Code 291U00000X - Clinical Medical Laboratory
State GA
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
AURORA DIAGNOSTICS 401(K) PLAN 2021 204846295 2022-03-30 AURORA DIAGNOSTICS, LLC 1362
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-03-01
Business code 621510
Sponsor’s telephone number 5616265512
Plan sponsor’s mailing address 11025 RCA CENTER DR STE 300, PALM BEACH GARDENS, FL, 334104269
Plan sponsor’s address 11025 RCA CENTER DR STE 300, PALM BEACH GARDENS, FL, 334104269

Number of participants as of the end of the plan year
Active participants 0
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2022-03-29
Name of individual signing DEANNA SHACKLEY FANTIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-03-29
Name of individual signing MICHAEL GRATTENDICK
Valid signature Filed with authorized/valid electronic signature
AURORA DIAGNOSTICS SEVERANCE PAY PLAN 2021 204846295 2022-02-14 AURORA DIAGNOSTICS, LLC 882
File View Page
Three-digit plan number (PN) 503
Effective date of plan 2009-04-01
Business code 621510
Sponsor’s telephone number 5616265512
Plan sponsor’s mailing address 11025 RCA CENTER DRIVE, SUITE 300, PALM BEACH GARDENS, FL, 33410
Plan sponsor’s address 11025 RCA CENTER DRIVE, SUITE 300, PALM BEACH GARDENS, FL, 33410

Number of participants as of the end of the plan year
Active participants 706
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2022-02-08
Name of individual signing DEANNA SHACKLEY FANTIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-02-08
Name of individual signing MICHAEL GRATTENDICK
Valid signature Filed with authorized/valid electronic signature
AURORA DIAGNOSTICS SEVERANCE PAY PLAN 2020 204846295 2021-01-22 AURORA DIAGNOSTICS, LLC 963
File View Page
Three-digit plan number (PN) 503
Effective date of plan 2009-04-01
Business code 621510
Sponsor’s telephone number 5616265512
Plan sponsor’s mailing address 11025 RCA CENTER DRIVE, SUITE 300, PALM BEACH GARDENS, FL, 33410
Plan sponsor’s address 11025 RCA CENTER DRIVE, SUITE 300, PALM BEACH GARDENS, FL, 33410

Number of participants as of the end of the plan year
Active participants 882
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2021-01-22
Name of individual signing DEANNA SHACKLEY FANTIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-01-22
Name of individual signing MICHAEL GRATTENDICK
Valid signature Filed with authorized/valid electronic signature
AURORA DIAGNOSTICS HEALTH & WELFARE BENEFIT PLAN 2020 204846295 2021-01-14 AURORA DIAGNOSTICS, LLC 1075
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2007-01-01
Business code 621510
Sponsor’s telephone number 5616265512
Plan sponsor’s mailing address 11025 RCA CENTER DR STE 300, PALM BEACH GARDENS, FL, 334104269
Plan sponsor’s address 11025 RCA CENTER DR STE 300, PALM BEACH GARDENS, FL, 334104269

Signature of
Role Plan administrator
Date 2021-01-14
Name of individual signing DEANNA SHACKLEY
Valid signature Filed with authorized/valid electronic signature
AURORA DIAGNOSTICS SEVERANCE PAY PLAN 2019 204846295 2020-12-02 AURORA DIAGNOSTICS, LLC 868
File View Page
Three-digit plan number (PN) 503
Effective date of plan 2009-04-01
Business code 621510
Sponsor’s telephone number 5616265512
Plan sponsor’s mailing address 11025 RCA CENTER DRIVE, SUITE 300, PALM BEACH GARDENS, FL, 33410
Plan sponsor’s address 11025 RCA CENTER DRIVE, SUITE 300, PALM BEACH GARDENS, FL, 33410

Number of participants as of the end of the plan year
Active participants 978
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2020-10-02
Name of individual signing DEANNA SHACKLEY FANTIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-02
Name of individual signing MICHAEL GRATTENDICK
Valid signature Filed with authorized/valid electronic signature
AURORA DIAGNOSTICS SEVERANCE PAY PLAN 2019 204846295 2020-12-02 AURORA DIAGNOSTICS, LLC 592
File View Page
Three-digit plan number (PN) 503
Effective date of plan 2009-04-01
Business code 621510
Sponsor’s telephone number 5616265512
Plan sponsor’s mailing address 11025 RCA CENTER DRIVE, SUITE 300, PALM BEACH GARDENS, FL, 33410
Plan sponsor’s address 11025 RCA CENTER DRIVE, SUITE 300, PALM BEACH GARDENS, FL, 33410

Number of participants as of the end of the plan year
Active participants 648
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2020-10-02
Name of individual signing DEANNA SHACKLEY FANTIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-02
Name of individual signing MICHAEL GRATTENDICK
Valid signature Filed with authorized/valid electronic signature
AURORA DIAGNOSTICS SEVERANCE PAY PLAN 2019 204846295 2020-12-02 AURORA DIAGNOSTICS, LLC 648
File View Page
Three-digit plan number (PN) 503
Effective date of plan 2009-04-01
Business code 621510
Sponsor’s telephone number 5616265512
Plan sponsor’s mailing address 11025 RCA CENTER DRIVE, SUITE 300, PALM BEACH GARDENS, FL, 33410
Plan sponsor’s address 11025 RCA CENTER DRIVE, SUITE 300, PALM BEACH GARDENS, FL, 33410

Number of participants as of the end of the plan year
Active participants 868
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2020-10-02
Name of individual signing DEANNA SHACKLEY FANTIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-02
Name of individual signing MICHAEL GRATTENDICK
Valid signature Filed with authorized/valid electronic signature
AURORA DIAGNOSTICS SEVERANCE PAY PLAN 2019 204846295 2020-12-02 AURORA DIAGNOSTICS, LLC 892
File View Page
Three-digit plan number (PN) 503
Effective date of plan 2009-04-01
Business code 621510
Sponsor’s telephone number 5616265512
Plan sponsor’s mailing address 11025 RCA CENTER DRIVE, SUITE 300, PALM BEACH GARDENS, FL, 33410
Plan sponsor’s address 11025 RCA CENTER DRIVE, SUITE 300, PALM BEACH GARDENS, FL, 33410

Number of participants as of the end of the plan year
Active participants 836
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2020-10-02
Name of individual signing DEANNA SHACKLEY FANTIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-02
Name of individual signing MICHAEL GRATTENDICK
Valid signature Filed with authorized/valid electronic signature
AURORA DIAGNOSTICS SEVERANCE PAY PLAN 2019 204846295 2020-12-02 AURORA DIAGNOSTICS, LLC 836
File View Page
Three-digit plan number (PN) 503
Effective date of plan 2009-04-01
Business code 621510
Sponsor’s telephone number 5616265512
Plan sponsor’s mailing address 11025 RCA CENTER DRIVE, SUITE 300, PALM BEACH GARDENS, FL, 33410
Plan sponsor’s address 11025 RCA CENTER DRIVE, SUITE 300, PALM BEACH GARDENS, FL, 33410

Number of participants as of the end of the plan year
Active participants 845
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2020-10-02
Name of individual signing DEANNA SHACKLEY FANTIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-02
Name of individual signing MICHAEL GRATTENDICK
Valid signature Filed with authorized/valid electronic signature
AURORA DIAGNOSTICS SEVERANCE PAY PLAN 2019 204846295 2020-12-02 AURORA DIAGNOSTICS, LLC 823
File View Page
Three-digit plan number (PN) 503
Effective date of plan 2009-04-01
Business code 621510
Sponsor’s telephone number 5616265512
Plan sponsor’s mailing address 11025 RCA CENTER DRIVE, SUITE 300, PALM BEACH GARDENS, FL, 33410
Plan sponsor’s address 11025 RCA CENTER DRIVE, SUITE 300, PALM BEACH GARDENS, FL, 33410

Number of participants as of the end of the plan year
Active participants 950
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2020-10-02
Name of individual signing DEANNA SHACKLEY FANTIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-02
Name of individual signing MICHAEL GRATTENDICK
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
CORPORATION SERVICE COMPANY Agent

Authorized Representative

Name Role Address
WEST, JAMES K. Authorized Representative 12357-A Riata Trace Pkwy, Suite 210 Austin, TX 78727

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-02-15 1355 River Bend Dr, Dallas, TX 75247 No data
CHANGE OF MAILING ADDRESS 2024-02-15 1355 River Bend Dr, Dallas, TX 75247 No data
REGISTERED AGENT NAME CHANGED 2023-03-29 CORPORATION SERVICE COMPANY No data
REGISTERED AGENT ADDRESS CHANGED 2023-03-29 1201 HAYS STREET, TALLAHASSEE, FL 32301 No data
LC STMNT OF RA/RO CHG 2015-08-28 No data No data

Documents

Name Date
ANNUAL REPORT 2024-02-15
ANNUAL REPORT 2023-04-25
Reg. Agent Change 2023-03-29
ANNUAL REPORT 2022-04-28
ANNUAL REPORT 2021-04-19
ANNUAL REPORT 2020-04-07
ANNUAL REPORT 2019-04-09
ANNUAL REPORT 2018-03-08
ANNUAL REPORT 2017-03-17
AMENDED ANNUAL REPORT 2016-11-28

Related by officers

WEST, JAMES K.

BIOPSY DIAGNOSTICS, LLC AURORA RESEARCH INSTITUTE, LLC TWIN CITIES DERMATOPATHOLOGY, LLC PATHOLOGY ASSOCIATES OF SEBRING, LLC MARK & KAMBOUR, LLC

Related by address

No related companies by address

Date of last update: 03 Jan 2025

Sources: Florida Department of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 flprofile.com, Part of Big Data Integrated