| Entity Name: | PHYSICIANS IMAGING - LAKE CITY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Company |
| Status: | Active |
| Date Filed: | 18 Jun 2007 (18 years ago) |
| Document Number: | M07000003684 |
| FEI/EIN Number | 20-5949657 |
| Address: | 404 NW HALL OF FAME DRIVE, LAKE CITY, FL 32055 |
| Mail Address: | 404 NW HALL OF FAME DR, LAKE CITY, FL 320554833 |
| ZIP code: | 32055 |
| County: | Columbia |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1588855027 | 2007-08-08 | 2022-04-27 | 404 NW HALL OF FAME DR, LAKE CITY, FL, 320554833, US | 404 NW HALL OF FAME DR, LAKE CITY, FL, 320554833, US | |||||||||||||||||||
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| Phone | +1 386-487-3970 |
| Fax | 3864873972 |
Authorized person
| Name | DR. ELIAS J GERTH |
| Role | CEO |
| Phone | 3523838800 |
Taxonomy
| Taxonomy Code | 261QR0200X - Radiology Clinic/Center |
| License Number | HCC7889 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GERTH, ELIAS JMD | Agent | 2600 Patterson Ave, N/A, Key West, FL 33040 |
| Name | Role | Address |
|---|---|---|
| Gerth, Elias | Manager | 2600 Patterson Ave, N/A Key West, FL 33040 |
| Name | Role | Address |
|---|---|---|
| HERNDON, PENNY | ADMINISTRATOR | 404 NW HALL OF FAME DR, LAKE CITY, FL 320554833 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-01-25 | 2600 Patterson Ave, N/A, Key West, FL 33040 | No data |
| CHANGE OF MAILING ADDRESS | 2023-01-19 | 404 NW HALL OF FAME DRIVE, LAKE CITY, FL 32055 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-25 |
| ANNUAL REPORT | 2023-01-19 |
| ANNUAL REPORT | 2022-02-21 |
| ANNUAL REPORT | 2021-02-02 |
| ANNUAL REPORT | 2020-01-16 |
| ANNUAL REPORT | 2019-02-08 |
| ANNUAL REPORT | 2018-02-13 |
| ANNUAL REPORT | 2017-01-12 |
| ANNUAL REPORT | 2016-04-23 |
| ANNUAL REPORT | 2015-01-29 |
Date of last update: 27 Jan 2025
Sources: Florida Department of State
