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  5. LAKES RADIOLOGY, INC.

LAKES RADIOLOGY, INC. - Florida Company Profile

Company Details

Entity Name: LAKES RADIOLOGY, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

LAKES RADIOLOGY, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.
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: 12 Mar 2003 (22 years ago)
Last Event: AMENDMENT
Event Date Filed: 16 Jun 2021 (4 years ago)
Document Number: P03000029264
FEI/EIN Number 611444986

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 14575 NW 77 AVE., SUITE 100-200, MIAMI LAKES, FL, 33014, US
Mail Address: 14575 NW 77 AVE., SUITE 100-200, MIAMI LAKES, FL, 33014, US
ZIP code: 33014
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1679619589 2007-01-29 2021-07-12 14575 NW 77TH AVE STE 100-200, MIAMI LAKES, FL, 330142547, US 14575 NW 77TH AVE STE 100-200, MIAMI LAKES, FL, 330142547, US

Contacts
Phone +1 305-231-1115
Fax 3052311116

Authorized person
Name MR. SAMUEL ARRIAGA
Role PRESIDENT
Phone 3052311115

Taxonomy
Taxonomy Code 2085R0202X - Diagnostic Radiology Physician
License Number P03000029264
State FL
Is Primary Yes

Other Provider Identifiers
Issuer P03000029264
Number P03000029264
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LAKES RADIOLOGY INC 401(K) PROFIT SHARING PLAN & TRUST 2023 611444986 2024-05-03 LAKES RADIOLOGY INC 51
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-12-01
Business code 541990
Sponsor’s telephone number 3052311115
Plan sponsor’s address 15600 NW 67TH AVE.SUITE 107, MIAMI LAKES, FL, 33014

Plan administrator’s name and address
Administrator’s EIN 471637791
Plan administrator’s name ERISA FIDUCIARY SERVICES, INC.
Plan administrator’s address 1373 VETERANS HIGHWAY, SUITE 10, HAUPPAUGE, NY, 11788
Administrator’s telephone number 6312490500

Signature of
Role Plan administrator
Date 2024-05-03
Name of individual signing ERISA FIDUCIARY SERVICES
Valid signature Filed with authorized/valid electronic signature
LAKES RADIOLOGY INC 401(K) PROFIT SHARING PLAN & TRUST 2022 611444986 2023-04-07 LAKES RADIOLOGY INC 47
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-12-01
Business code 541990
Sponsor’s telephone number 3052311115
Plan sponsor’s address 15600 NW 67TH AVE.SUITE 107, MIAMI LAKES, FL, 33014

Plan administrator’s name and address
Administrator’s EIN 471637791
Plan administrator’s name ERISA FIDUCIARY SERVICES, INC.
Plan administrator’s address 1373 VETERANS HIGHWAY, SUITE 10, HAUPPAUGE, NY, 11788
Administrator’s telephone number 6312490500

Signature of
Role Plan administrator
Date 2023-04-07
Name of individual signing ERISA FIDUCIARY SERVICES
Valid signature Filed with authorized/valid electronic signature
LAKES RADIOLOGY INC 401(K) PROFIT SHARING PLAN & TRUST 2021 611444986 2022-06-10 LAKES RADIOLOGY INC 59
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-12-01
Business code 541990
Sponsor’s telephone number 3052311115
Plan sponsor’s address 15600 NW 67TH AVE.SUITE 107, MIAMI LAKES, FL, 33014

Plan administrator’s name and address
Administrator’s EIN 471637791
Plan administrator’s name ERISA FIDUCIARY SERVICES, INC.
Plan administrator’s address 1373 VETERANS HIGHWAY, SUITE 10, HAUPPAUGE, NY, 11788
Administrator’s telephone number 6312490500

Signature of
Role Plan administrator
Date 2022-06-10
Name of individual signing ERISA FIDUCIARY SERVICES
Valid signature Filed with authorized/valid electronic signature
LAKES RADIOLOGY INC 401(K) PROFIT SHARING PLAN & TRUST 2020 611444986 2021-04-02 LAKES RADIOLOGY INC 66
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-12-01
Business code 541990
Sponsor’s telephone number 3052311115
Plan sponsor’s address 15600 NW 67TH AVE.SUITE 107, MIAMI LAKES, FL, 33014

Signature of
Role Plan administrator
Date 2021-04-02
Name of individual signing ERISA FIDUCIARY SERVICES
Valid signature Filed with authorized/valid electronic signature
LAKES RADIOLOGY INC 401(K) PROFIT SHARING PLAN & TRUST 2019 611444986 2020-06-16 LAKES RADIOLOGY INC 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-12-01
Business code 541990
Sponsor’s telephone number 3052311115
Plan sponsor’s address 15600 NW 67TH AVE.SUITE 107, MIAMI LAKES, FL, 33014

Signature of
Role Plan administrator
Date 2020-06-16
Name of individual signing ERISA FIDUCIARY SERVICES
Valid signature Filed with authorized/valid electronic signature
LAKES RADIOLOGY, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2018 611444986 2019-06-28 LAKES RADIOLOGY, INC. 53
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-12-01
Business code 541990
Sponsor’s telephone number 3052311115
Plan sponsor’s address 15600 NW 67TH AVE, SUITE 201, MIAMI LAKES, FL, 33014

Signature of
Role Plan administrator
Date 2019-06-28
Name of individual signing SAMUEL ARRIAGA
Valid signature Filed with authorized/valid electronic signature
LAKES RADIOLOGY, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2017 611444986 2018-06-29 LAKES RADIOLOGY, INC. 19
Three-digit plan number (PN) 001
Effective date of plan 2009-12-01
Business code 541990
Sponsor’s telephone number 3052311115
Plan sponsor’s address 15600 NW 67TH AVE, SUITE 201, MIAMI LAKES, FL, 33014

Signature of
Role Plan administrator
Date 2018-06-29
Name of individual signing SAMUEL ARRIAGA
Valid signature Filed with authorized/valid electronic signature
LAKES RADIOLOGY, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2017 611444986 2019-06-28 LAKES RADIOLOGY, INC. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-12-01
Business code 541990
Sponsor’s telephone number 3052311115
Plan sponsor’s address 15600 NW 67TH AVE, SUITE 201, MIAMI LAKES, FL, 33014

Signature of
Role Plan administrator
Date 2019-06-28
Name of individual signing SAMUEL ARRIAGA
Valid signature Filed with authorized/valid electronic signature
LAKES RADIOLOGY, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2016 611444986 2019-07-01 LAKES RADIOLOGY, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-12-01
Business code 541990
Sponsor’s telephone number 3052311115
Plan sponsor’s address 15600 NW 67TH AVE, SUITE 201, MIAMI LAKES, FL, 33014

Signature of
Role Plan administrator
Date 2019-07-01
Name of individual signing SAMUEL ARRIAGA
Valid signature Filed with authorized/valid electronic signature
LAKES RADIOLOGY, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2016 611444986 2017-07-26 LAKES RADIOLOGY, INC. 18
Three-digit plan number (PN) 001
Effective date of plan 2009-12-01
Business code 541990
Sponsor’s telephone number 3052311115
Plan sponsor’s address 15600 NW 67TH AVE, SUITE 201, MIAMI LAKES, FL, 33014

Signature of
Role Plan administrator
Date 2017-07-26
Name of individual signing SAMUEL ARRIAGA
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
ARRIAGA SAMUEL President 14575 NW 77 AVE., SUITE 100-200, MIAMI LAKES, FL, 33014
DIEGUEZ & ASSOCIATES, PLLC. Agent -

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2022-07-19 Dieguez & Associates, PLLC -
REGISTERED AGENT ADDRESS CHANGED 2022-07-19 7950 NW 155 Street, Suite 207, MIAMI LAKES, FL 33016 -
AMENDMENT 2021-06-16 - -
CHANGE OF PRINCIPAL ADDRESS 2021-06-16 14575 NW 77 AVE., SUITE 100-200, MIAMI LAKES, FL 33014 -
CHANGE OF MAILING ADDRESS 2021-06-16 14575 NW 77 AVE., SUITE 100-200, MIAMI LAKES, FL 33014 -
AMENDMENT AND NAME CHANGE 2003-03-21 LAKES RADIOLOGY, INC. -

Documents

Name Date
ANNUAL REPORT 2024-02-27
ANNUAL REPORT 2023-01-25
AMENDED ANNUAL REPORT 2022-07-19
ANNUAL REPORT 2022-01-30
Amendment 2021-06-16
ANNUAL REPORT 2021-02-13
ANNUAL REPORT 2020-02-12
ANNUAL REPORT 2019-02-13
ANNUAL REPORT 2018-03-06
ANNUAL REPORT 2017-02-13

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
7206228310 2021-01-28 0455 PPS 15600 NW 67th Ave Ste 107, Miami Lakes, FL, 33014-2175
Loan Status Date 2022-02-05
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 412890
Loan Approval Amount (current) 412890
Undisbursed Amount 0
Franchise Name -
Lender Location ID 17616
Servicing Lender Name Seacoast National Bank
Servicing Lender Address 815 Colorado Ave, STUART, FL, 34994-3053
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Miami Lakes, MIAMI-DADE, FL, 33014-2175
Project Congressional District FL-26
Number of Employees 48
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Hispanic or Latino
Business Type Subchapter S Corporation
Originating Lender ID 17616
Originating Lender Name Seacoast National Bank
Originating Lender Address STUART, FL
Gender Male Owned
Veteran Unanswered
Forgiveness Amount 416815.28
Forgiveness Paid Date 2022-01-18
8381127005 2020-04-08 0455 PPP 15600 67TH AVE Suite 107, MIAMI LAKES, FL, 33014-2175
Loan Status Date 2021-03-06
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 412800
Loan Approval Amount (current) 412800
Undisbursed Amount 0
Franchise Name -
Lender Location ID 17616
Servicing Lender Name Seacoast National Bank
Servicing Lender Address 815 Colorado Ave, STUART, FL, 34994-3053
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address MIAMI LAKES, MIAMI-DADE, FL, 33014-2175
Project Congressional District FL-26
Number of Employees 56
NAICS code 621512
Borrower Race Unanswered
Borrower Ethnicity Hispanic or Latino
Business Type Subchapter S Corporation
Originating Lender ID 17616
Originating Lender Name Seacoast National Bank
Originating Lender Address STUART, FL
Gender Male Owned
Veteran Unanswered
Forgiveness Amount 416125.02
Forgiveness Paid Date 2021-02-09

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Companies related by address

No other companies in our directory share the same address as LAKES RADIOLOGY, INC.

Date of last update: 02 Mar 2025

Sources: Florida Department of State

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