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IMAGING SERVICES OF JACKSONVILLE, LLC - Florida Company Profile

Company Details

Entity Name: IMAGING SERVICES OF JACKSONVILLE, LLC
Jurisdiction: FLORIDA
Filing Type: Foreign Limited Liability Co.
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: 07 Jan 2008 (17 years ago)
Document Number: M08000000085
FEI/EIN Number 611549895

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: ONE PARK PLAZA, NASHVILLE, TN, 37203
Mail Address: ONE PARK PLAZA, LEGAL DEPT., NASHVILLE, TN, 37203
Place of Formation: DELAWARE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1154586964 2008-07-21 2009-02-05 10475 CENTURIAN PARKWAY, JACKSONVILLE, FL, 32256, US 10475 CENTURIAN PARKWAY, JACKSONVILLE, FL, 32256, US

Contacts
Phone +1 904-928-1001
Fax 9046416298

Authorized person
Name LAVELLE R HARDIN
Role MANAGED CARE ANALYST
Phone 6153448203

Taxonomy
Taxonomy Code 2085R0202X - Diagnostic Radiology Physician
Is Primary Yes

Other Provider Identifiers
Issuer BCBS OF FL
Number V3323
State FL

Key Officers & Management

Name Role Address
FRANCK JOHN MII Manager ONE PARK PLAZA, NASHVILLE, TN, 37203
WYATT CHRISTOPHER F Manager ONE PARK PLAZA, NASHVILLE, TN, 37203
HAZEN SAMUEL N Manager ONE PARK PLAZA, NASHVILLE, TN, 37203
C T CORPORATION SYSTEM Agent -

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G08164900264 DEERWOOD IMAGING EXPIRED 2008-06-12 2013-12-31 - ONE PARK PLAZA, LEGAL DEPARTMENT, NASHVILLE, TN, 37203
G08163900249 DEARWOOD IMAGING EXPIRED 2008-06-11 2013-12-31 - ONE PARK PLAZA, LEGAL DEPARTMENT, NASHVILLE, TN, 37203

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2012-04-30 ONE PARK PLAZA, NASHVILLE, TN 37203 -

Documents

Name Date
ANNUAL REPORT 2024-04-23
ANNUAL REPORT 2023-04-21
ANNUAL REPORT 2022-04-28
ANNUAL REPORT 2021-04-27
ANNUAL REPORT 2020-04-29
ANNUAL REPORT 2019-04-22
ANNUAL REPORT 2018-04-24
ANNUAL REPORT 2017-04-25
ANNUAL REPORT 2016-04-25
ANNUAL REPORT 2015-04-21

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C T CORPORATION SYSTEM

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ONE PARK PLAZA, NASHVILLE, TN, 37203

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ONE PARK PLAZA, LEGAL DEPT., NASHVILLE, TN, 37203

LARGO PHYSICIAN GROUP, LLC PINELLAS HOSPITALIST GROUP LLC SOUTH ATLANTIC HOSPITALIST GROUP LLC AUGUSTA MANAGEMENT SERVICES, LLC BRANDON REGIONAL CANCER CENTER, LLC BROWARD CARDIOVASCULAR SURGEONS, LLC NORTHWEST FLORIDA MULTISPECIALTY PHYSICIANS, LLC TRAVEL MEDICINE AND INFECTIONS, LLC NORTH FLORIDA PHYSICIANS, LLC

Date of last update: 02 Apr 2025

Sources: Florida Department of State

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