| Entity Name: | PREMIER INTERVENTIONAL & DIAGNOSTIC RADIOLOGY CORP. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
PREMIER INTERVENTIONAL & DIAGNOSTIC RADIOLOGY CORP. 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: | 18 Nov 2016 (8 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 01 Nov 2022 (2 years ago) |
| Document Number: | P16000092916 |
| FEI/EIN Number |
81-4498774
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 7556 LAKE WORTH RD, LAKE WORTH, FL, 33467, US |
| Mail Address: | 7556 LAKE WORTH RD, LAKE WORTH, FL, 33467, US |
| ZIP code: | 33467 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1801437041 | 2019-09-30 | 2024-04-10 | 7556 LAKE WORTH RD STE 103, LAKE WORTH, FL, 334672503, US | 7556 LAKE WORTH RD STE 103, LAKE WORTH, FL, 334672503, US | |||||||||||||||||||||
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| Phone | +1 561-894-1370 |
| Fax | 5618941372 |
Authorized person
| Name | DR. EMILIO LOPEZ |
| Role | AUTHORIZED OFFICIAL/OWNER |
| Phone | 7865477655 |
Taxonomy
| Taxonomy Code | 2085R0204X - Vascular & Interventional Radiology Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 104439200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| VALEZAR & ASSOCIATES, INC. | Agent | - |
| LOPEZ EMILIO | President | 8495 SW 56 Street, Miami, FL, 33155 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000145017 | PREMIER VASCULAR AND INTERVENTIONAL | ACTIVE | 2020-11-11 | 2025-12-31 | - | 7556 LAKE WORTH RD SUITE 103, LAKE WORTH, FL, 33467 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2025-02-16 | 7556 LAKE WORTH RD, SUITE 103, LAKE WORTH, FL 33467 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-16 | 7556 LAKE WORTH RD, SUITE 102, LAKE WORTH, FL 33467 | - |
| CHANGE OF MAILING ADDRESS | 2024-01-16 | 7556 LAKE WORTH RD, SUITE 102, LAKE WORTH, FL 33467 | - |
| AMENDMENT | 2022-11-01 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-16 |
| ANNUAL REPORT | 2024-01-16 |
| ANNUAL REPORT | 2023-01-20 |
| Amendment | 2022-11-01 |
| ANNUAL REPORT | 2022-04-11 |
| ANNUAL REPORT | 2021-07-27 |
| ANNUAL REPORT | 2020-03-22 |
| ANNUAL REPORT | 2019-04-23 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-04-05 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
