| Entity Name: | LAKES INTERVENTIONAL RADIOLOGY, CORP. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 03 Sep 2009 (15 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 28 May 2019 (6 years ago) |
| Document Number: | P09000074146 |
| FEI/EIN Number | 27-0868145 |
| Address: | 16853 NE 2ND AVENUE SUITE 200, NORTH MIAMI LAKES, FL 33162 |
| Mail Address: | 16853 NE 2ND AVENUE SUITE 200, NORTH MIAMI BEACH, FL 33162 |
| ZIP code: | 33162 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790053981 | 2011-12-02 | 2020-07-30 | 16853 NE 2ND AVE STE 200, NORTH MIAMI BEACH, FL, 331621776, US | 1380 NE MIAMI GARDENS DR STE 240, NORTH MIAMI BEACH, FL, 331794750, US | |||||||||||||||||||||||
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| Phone | +1 305-907-6191 |
| Fax | 3059076192 |
Authorized person
| Name | JUAN RAMIREZ |
| Role | MANAGER |
| Phone | 3054331335 |
Taxonomy
| Taxonomy Code | 2085R0204X - Vascular & Interventional Radiology Physician |
| Is Primary | Yes |
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| License Number | OSR807 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| FARA, CATHY | Agent | 16853 NE 2ND AVENUE, SUITE 200, NORTH MIAMI BEACH, FL 33162 |
| Name | Role | Address |
|---|---|---|
| FAITH, ROLAND | Director | 16853 NE 2ND AVE., SUITE 200, NORTH MIAMI BEACH, FL 33162 |
| FARA, CATHY | Director | 16853 NE 2ND AVE., SUITE 200, NORTH MIAMI BEACH, FL 33162 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000068808 | UNIQUE INTERVENTIONAL RADIOLOGY | EXPIRED | 2019-06-18 | 2024-12-31 | No data | 16853 NE 2ND AVENUE, SUITE 200, NORTH MIAMI BEACH, FL, 33162 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2019-05-28 | 16853 NE 2ND AVENUE, SUITE 200, NORTH MIAMI BEACH, FL 33162 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-05-28 | 16853 NE 2ND AVENUE SUITE 200, NORTH MIAMI LAKES, FL 33162 | No data |
| CHANGE OF MAILING ADDRESS | 2019-05-28 | 16853 NE 2ND AVENUE SUITE 200, NORTH MIAMI LAKES, FL 33162 | No data |
| REGISTERED AGENT NAME CHANGED | 2019-05-28 | FARA, CATHY | No data |
| AMENDMENT | 2019-05-28 | No data | No data |
| NAME CHANGE AMENDMENT | 2011-01-05 | LAKES INTERVENTIONAL RADIOLOGY, CORP. | No data |
| REINSTATEMENT | 2010-11-10 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-04-21 |
| ANNUAL REPORT | 2022-04-19 |
| ANNUAL REPORT | 2021-03-15 |
| ANNUAL REPORT | 2020-03-12 |
| Amendment | 2019-05-28 |
| ANNUAL REPORT | 2019-02-13 |
| ANNUAL REPORT | 2018-03-06 |
| ANNUAL REPORT | 2017-02-13 |
| ANNUAL REPORT | 2016-02-07 |
Date of last update: 25 Jan 2025
Sources: Florida Department of State
