| Entity Name: | LIFELINE VASCULAR CENTER-NICEVILLE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 26 Dec 2012 (12 years ago) |
| Date of dissolution: | 02 May 2024 (a year ago) |
| Last Event: | WITHDRAWAL |
| Event Date Filed: | 02 May 2024 (a year ago) |
| Document Number: | M12000007182 |
| FEI/EIN Number |
36-4750919
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | One Parkway North, Deerfield, IL, 60015, US |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962849794 | 2013-06-03 | 2021-06-30 | PO BOX 782282, PHILADELPHIA, PA, 191782282, US | 4585 E HIGHWAY 20 STE 125, NICEVILLE, FL, 325787709, US | |||||||||||||||||||||||||||
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| Phone | +1 847-388-2001 |
| Fax | 8473882020 |
| Phone | +1 850-678-0184 |
| Fax | 8506780155 |
Authorized person
| Name | JASON LOHMEYER |
| Role | CFO |
| Phone | 8479493855 |
Taxonomy
| Taxonomy Code | 207RN0300X - Nephrology Physician |
| Is Primary | No |
| Taxonomy Code | 2085R0204X - Vascular & Interventional Radiology Physician |
| Is Primary | Yes |
| Taxonomy Code | 2086S0129X - Vascular Surgery Physician |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| RMS LIFELINE INC. | Manager | - |
| CVI Management, L.L.C. | Member | One Parkway North, Deerfield, IL, 60015 |
| CORPORATION SERVICE COMPANY | Agent | - |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G13000106723 | LIFELINE VASCULAR & INTERVENTIONAL CENTER | EXPIRED | 2013-10-29 | 2018-12-31 | - | 4585 HIGHWAY 20 EAST, SUITE 125, NICEVILLE, FL, 32578 |
| G13000003484 | LIFELINE VASCULAR CENTER-NICEVILLE | EXPIRED | 2013-01-11 | 2018-12-31 | - | 4585 HIGHWAY 20 EAST, NICEVILLE, FL, 32578 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| WITHDRAWAL | 2024-05-02 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2022-05-02 | One Parkway North, Suite 200S, Deerfield, IL 60015 | - |
| Name | Date |
|---|---|
| WITHDRAWAL | 2024-05-02 |
| ANNUAL REPORT | 2023-05-01 |
| ANNUAL REPORT | 2022-05-02 |
| ANNUAL REPORT | 2021-09-17 |
| ANNUAL REPORT | 2020-04-20 |
| ANNUAL REPORT | 2019-04-16 |
| ANNUAL REPORT | 2018-04-16 |
| ANNUAL REPORT | 2017-04-19 |
| ANNUAL REPORT | 2016-04-21 |
| ANNUAL REPORT | 2015-04-28 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
