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DIAGNOSTIC ENDOSCOPY, LLC

Company Details

Entity Name: DIAGNOSTIC ENDOSCOPY, LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Foreign
Status: Active
Date Formed: 24 Apr 2013 (Companies founded in April 2013)
Business ALEI: 1104333
Annual report due: 31 Mar 2025
NAICS code: 621111 - Offices of Physicians (except Mental Health Specialists)
Business address: 1A Burton Hills Blvd Ste 300, Nashville, TN, 37215-6153, United States
Mailing address: 1A Burton Hills Blvd Ste 300, Nashville, TN, United States, 37215-6153
Mailing jurisdiction address: 1A BURTON HILLS BLVD, SUITE 300, NASHVILLE, TN, 37215, United States
Place of Formation: TENNESSEE
E-Mail: compliancemail@cscglobal.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DIAGNOSTIC ENDOSCOPY LLC 401(K) PROFIT SHARING PLAN & TRUST 2019 223750394 2020-04-16 DIAGNOSTIC ENDOSCOPY LLC 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621510
Sponsor’s telephone number 2033222400
Plan sponsor’s address 778 LONG RIDGE RD STE 4, STAMFORD, CT, 069021265

Signature of
Role Plan administrator
Date 2020-04-16
Name of individual signing CATHY KEAN
Valid signature Filed with authorized/valid electronic signature
DIAGNOSTIC ENDOSCOPY LLC 401 K PROFIT SHARING PLAN TRUST 2018 223750394 2019-03-29 DIAGNOSTIC ENDOSCOPY LLC 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621510
Sponsor’s telephone number 2033222400
Plan sponsor’s address 778 LONG RIDGE RD STE 4, STAMFORD, CT, 069021265

Signature of
Role Plan administrator
Date 2019-03-29
Name of individual signing FRANK BLAIR
Valid signature Filed with authorized/valid electronic signature
DIAGNOSTIC ENDOSCOPY LLC 401 K PROFIT SHARING PLAN TRUST 2017 223750394 2018-05-17 DIAGNOSTIC ENDOSCOPY LLC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621510
Sponsor’s telephone number 2033222400
Plan sponsor’s address 778 LONG RIDGE RD STE 4, STAMFORD, CT, 069021265

Signature of
Role Plan administrator
Date 2018-05-17
Name of individual signing FRANK BLAIR
Valid signature Filed with authorized/valid electronic signature
DIAGNOSTIC ENDOSCOPY LLC 401 K PROFIT SHARING PLAN TRUST 2016 223750394 2017-05-22 DIAGNOSTIC ENDOSCOPY LLC 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621510
Sponsor’s telephone number 2033222400
Plan sponsor’s address 778 LONG RIDGE RD STE 4, STAMFORD, CT, 069021265

Signature of
Role Plan administrator
Date 2017-05-22
Name of individual signing FRANK BLAIR
Valid signature Filed with authorized/valid electronic signature
DIAGNOSTIC ENDOSCOPY LLC 401 K PROFIT SHARING PLAN TRUST 2015 223750394 2016-05-13 DIAGNOSTIC ENDOSCOPY LLC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621510
Sponsor’s telephone number 2033222400
Plan sponsor’s address 778 LONG RIDGE RD STE 4, STAMFORD, CT, 069021265

Signature of
Role Plan administrator
Date 2016-05-13
Name of individual signing FRANK BLAIR
Valid signature Filed with authorized/valid electronic signature
DIAGNOSTIC ENDOSCOPY LLC 401 K PROFIT SHARING PLAN TRUST 2014 223750394 2015-06-19 DIAGNOSTIC ENDOSCOPY LLC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621510
Sponsor’s telephone number 2033222400
Plan sponsor’s address 778 LONG RIDGE RD STE 4, STAMFORD, CT, 069021265

Signature of
Role Plan administrator
Date 2015-06-19
Name of individual signing FRANK BLAIR
Valid signature Filed with authorized/valid electronic signature
DIAGNOSTIC ENDOSCOPY LLC 401 K PROFIT SHARING PLAN TRUST 2013 223750394 2014-07-31 DIAGNOSTIC ENDOSCOPY LLC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621510
Sponsor’s telephone number 2033222400
Plan sponsor’s address 778 LONG RIDGE RD STE 4, STAMFORD, CT, 069021265

Signature of
Role Plan administrator
Date 2014-07-31
Name of individual signing GCALLAHAN@DIAGNOSTICENDOSCOPY.COM
Valid signature Filed with authorized/valid electronic signature
DIAGNOSTIC ENDOSCOPY LLC 401 K PROFIT SHARING PLAN TRUST 2012 223750394 2014-08-19 DIAGNOSTIC ENDOSCOPY LLC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621510
Sponsor’s telephone number 2033222400
Plan sponsor’s address 778 LONG RIDGE RD STE 4, STAMFORD, CT, 069021265

Signature of
Role Plan administrator
Date 2014-08-19
Name of individual signing DIAGNOSTIC ENDOSCOPY LLC
Valid signature Filed with authorized/valid electronic signature
DIAGNOSTIC ENDOSCOPY LLC 401 K PROFIT SHARING PLAN TRUST 2011 223750394 2012-05-14 DIAGNOSTIC ENDOSCOPY LLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621510
Sponsor’s telephone number 2033222400
Plan sponsor’s address 778 LONG RIDGE RD STE 4, STAMFORD, CT, 069021265

Plan administrator’s name and address
Administrator’s EIN 223750394
Plan administrator’s name DIAGNOSTIC ENDOSCOPY LLC
Plan administrator’s address 778 LONG RIDGE RD STE 4, STAMFORD, CT, 069021265
Administrator’s telephone number 2033222400

Signature of
Role Plan administrator
Date 2012-05-14
Name of individual signing DIAGNOSTIC ENDOSCOPY LLC
Valid signature Filed with authorized/valid electronic signature
DIAGNOSTIC ENDOSCOPY LLC 401 K PROFIT SHARING PLAN TRUST 2010 223750394 2011-09-13 DIAGNOSTIC ENDOSCOPY LLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621510
Sponsor’s telephone number 2033222400
Plan sponsor’s address 778 LONG RIDGE ROAD, STAMFORD, CT, 06902

Plan administrator’s name and address
Administrator’s EIN 223750394
Plan administrator’s name DIAGNOSTIC ENDOSCOPY LLC
Plan administrator’s address 778 LONG RIDGE ROAD, STAMFORD, CT, 06902
Administrator’s telephone number 2033222400

Signature of
Role Plan administrator
Date 2011-09-13
Name of individual signing DIAGNOSTIC ENDOSCOPY LLC
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
CORPORATION SERVICE COMPANY Agent

Officer

Name Role Business address Residence address
Paige Reber Officer 1A Burton Hills Blvd Ste 300, Nashville, TN, 37215-6153, United States 1A Burton Hills Blvd Ste 300, Nashville, TN, 37215-6153, United States
Jeff Snodgrass Officer 1A Burton Hills Blvd Ste 300, Nashville, TN, 37215-6153, United States 1A Burton Hills Blvd Ste 300, Nashville, TN, 37215-6153, United States
Sarah Belmont Officer No data 1A Burton Hills Blvd Ste 300, Nashville, TN, 37215-6153, United States

License

Credential Credential type Status Status reason Issue date Effective date Expiration date
ASC.0000301 Out-Patient Surgical Facility ACTIVE CURRENT 2009-04-01 2023-04-01 2025-03-31

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012164071 2024-03-14 No data Annual Report Annual Report No data
BF-0011301340 2023-03-17 No data Annual Report Annual Report No data
BF-0010203632 2022-03-30 No data Annual Report Annual Report 2022
BF-0010469296 2022-01-14 2022-01-14 Mass Agent Change � Address Agent Address Change No data
0007225140 2021-03-11 No data Annual Report Annual Report 2021
0006950703 2020-07-06 2020-07-06 Change of Agent Address Agent Address Change No data
0006943532 2020-07-06 2020-07-06 Change of Agent Address Agent Address Change No data
0006761566 2020-02-19 No data Annual Report Annual Report 2020
0006438728 2019-03-09 No data Annual Report Annual Report 2019
0006113777 2018-03-08 No data Annual Report Annual Report 2018

Related by officers

Paige Reber

EHG EYE CT, P.C.

Jeff Snodgrass

EHG EYE CT, P.C.

Sarah Belmont

EHG EYE CT, P.C.

Related by address

1A Burton Hills Blvd Ste 300, Nashville, TN, 37215-6153, United States

Ambulatory Intermediate Co 2, LLC BLOOMFIELD EYE SURGERY CENTER, LLC WILTON SURGERY CENTER, LLC STAMFORD/NSC MANAGEMENT, LLC EASTERN CONNECTICUT ENDOSCOPY CENTER, LLC CONNECTICUT EYE SURGERY CENTER SOUTH, LLC AMSURG STAMFORD ANESTHESIA, LLC CONNECTICUT EYE ANESTHESIA, LLC EHG EYE CT, P.C.

1A Burton Hills Blvd Ste 300, Nashville, TN, United States, 37215-6153

Ambulatory Intermediate Co 2, LLC WILTON SURGERY CENTER, LLC STAMFORD/NSC MANAGEMENT, LLC CONNECTICUT EYE ANESTHESIA, LLC EHG EYE CT, P.C.

Date of last update: 11 Nov 2024

Sources: Connecticut's Official State Website

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