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Limestone Radiology Associates, P.C.

Details

Name: Limestone Radiology Associates, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Dissolved
Date of registration: 31 Oct 1980 (44 years ago)
Date of dissolution: 11 Aug 2020
Entity Number: 000-063-430
Register Number: 000063430
County: Limestone
Place of Formation: Limestone County
Principal Address: ATHENS, AL
Registered Office Street Address: 22281 HIGHWAY 72 EAST STE B & CATHENS, AL 35613
Registered Office Street Address ZIP Code: 35613
Authorized Capital: $1,000
Paid Share Capital: $1,000

Activities MEDICAL

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1457498206 2007-01-31 2010-01-21 22281 US HIGHWAY 72, SUITE B, ATHENS, AL, 356132600, US 22281 US HIGHWAY 72, SUITE B, ATHENS, AL, 356132600, US

Contacts
Phone +1 256-233-2158
Fax 2562306825

Authorized person
Name DR. JOSEPH M CANNON
Role PRESIDENT & OWNER
Phone 2562332158

Taxonomy
Taxonomy Code 261QM1200X - Magnetic Resonance Imaging (MRI) Clinic/Center
Is Primary No
Taxonomy Code 261QR0200X - Radiology Clinic/Center
Is Primary Yes
Taxonomy Code 261QR0206X - Mammography Clinic/Center
Is Primary No

Other Provider Identifiers
Issuer BLUE CROSS BLUE SHIELD PROVIDER
Number 051512501CAN
State AL
Issuer MEDICAID
Number CA009904395
State AL
Issuer MEDICAID
Number LI528903370
State AL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LIMESTONE RADIOLOGY ASSOCIATES, P. C. 401K PROFIT SHARING PLAN 2015 630798067 2016-10-05 LIMESTONE RADIOLOGY ASSOCIATES P.C. 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1980-11-01
Business code 621111
Sponsor’s telephone number 2562332157
Plan sponsor’s address 221 BRIARWOOD CIR, ATHENS, AL, 356132056

Signature of
Role Plan administrator
Date 2016-10-05
Name of individual signing JOSEPH M. CANNON, M.D.
LIMESTONE RADIOLOGY ASSOCIATES, P.C. 401K PROFIT SHARING PLAN 2015 630798067 2016-10-05 LIMESTONE RADIOLOGY ASSOCIATES P.C. 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1980-11-01
Business code 621111
Sponsor’s telephone number 2562332157
Plan sponsor’s address 221 BRIARWOOD CIR, ATHENS, AL, 356132056

Signature of
Role Plan administrator
Date 2016-10-05
Name of individual signing JOSEPH M. CANNON, M.D.
LIMESTONE RADIOLOGY ASSOCIATES, P.C. 401K PROFIT SHARING PLAN 2014 630798067 2015-07-07 LIMESTONE RADIOLOGY ASSOCIATES P.C. 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1980-11-01
Business code 621111
Sponsor’s telephone number 2562332157
Plan sponsor’s address 22281 US HWY 72 EAST, STES B AND C, ATHENS, AL, 356132600

Signature of
Role Plan administrator
Date 2015-07-07
Name of individual signing JOSEPH M. CANNON, M.D.
LIMESTONE RADIOLOGY ASSOCIATES, P.C. 401K PROFIT SHARING PLAN 2013 630798067 2014-10-13 LIMESTONE RADIOLOGY ASSOCIATES P.C. 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1980-11-01
Business code 621111
Sponsor’s telephone number 2562332157
Plan sponsor’s address 22281 US HWY 72 EAST, STES B AND C, ATHENS, AL, 356132600

Signature of
Role Plan administrator
Date 2014-10-13
Name of individual signing JOSEPH M. CANNON, M.D.
LIMESTONE RADIOLOGY ASSOCIATES, P.C. 401K PROFIT SHARING PLAN 2012 630798067 2013-09-30 LIMESTONE RADIOLOGY ASSOCIATES P.C. 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1980-11-01
Business code 621111
Sponsor’s telephone number 2562332157
Plan sponsor’s address 22281 US HWY 72 EAST, SUITES BC, ATHENS, AL, 356132600

Signature of
Role Plan administrator
Date 2013-09-30
Name of individual signing JOSEPH M. CANNON, M.D.
Role Employer/plan sponsor
Date 2013-09-30
Name of individual signing JOSEPH M. CANNON, M.D.
LIMESTONE RADIOLOGY ASSOCIATES, P.C. 401K PROFIT SHARING PLAN 2011 630798067 2012-06-27 LIMESTONE RADIOLOGY ASSOCIATES P.C. 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1980-11-01
Business code 621111
Sponsor’s telephone number 2562332157
Plan sponsor’s address 22281 US HWY 72 EAST, SUITES BC, ATHENS, AL, 356132600

Plan administrator’s name and address
Administrator’s EIN 630798067
Plan administrator’s name LIMESTONE RADIOLOGY ASSOCIATES P.C.
Plan administrator’s address 22281 US HWY 72 EAST, SUITES BC, ATHENS, AL, 356132600
Administrator’s telephone number 2562332157

Signature of
Role Plan administrator
Date 2012-06-26
Name of individual signing JOSEPH M. CANNON, M.D.
Role Employer/plan sponsor
Date 2012-06-26
Name of individual signing JOSEPH M. CANNON, M.D.
LIMESTONE RADIOLOGY ASSOCIATES, P.C. 401K PROFIT SHARING PLAN 2010 630798067 2011-09-30 LIMESTONE RADIOLOGY ASSOCIATES P.C. 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1980-11-01
Business code 621111
Sponsor’s telephone number 2562332157
Plan sponsor’s address 22281 US HWY 72 EAST, SUITES BC, ATHENS, AL, 356132600

Plan administrator’s name and address
Administrator’s EIN 630798067
Plan administrator’s name LIMESTONE RADIOLOGY ASSOCIATES P.C.
Plan administrator’s address 22281 US HWY 72 EAST, SUITES BC, ATHENS, AL, 356132600
Administrator’s telephone number 2562332157

Signature of
Role Plan administrator
Date 2011-09-30
Name of individual signing JOSEPH CANNON
Role Employer/plan sponsor
Date 2011-09-30
Name of individual signing JOSEPH CANNON
LIMESTONE RADIOLOGY ASSOCIATES, P.C. 401K PROFIT SHARING PLAN 2010 630798067 2011-09-30 LIMESTONE RADIOLOGY ASSOCIATES P.C. 15
Three-digit plan number (PN) 002
Effective date of plan 1980-11-01
Business code 621111
Sponsor’s telephone number 2562332157
Plan sponsor’s address 22281 US HWY 72 EAST, SUITES BC, ATHENS, AL, 356132600

Plan administrator’s name and address
Administrator’s EIN 630798067
Plan administrator’s name LIMESTONE RADIOLOGY ASSOCIATES P.C.
Plan administrator’s address 22281 US HWY 72 EAST, SUITES BC, ATHENS, AL, 356132600
Administrator’s telephone number 2562332157

Signature of
Role Plan administrator
Date 2011-09-30
Name of individual signing JOSEPH CANNON
Role Employer/plan sponsor
Date 2011-09-30
Name of individual signing JOSEPH CANNON
LIMESTONE RADIOLOGY ASSOCIATES, P.C. 401K PROFIT SHARING PLAN 2010 630798067 2011-09-30 LIMESTONE RADIOLOGY ASSOCIATES P.C. 15
Three-digit plan number (PN) 002
Effective date of plan 1980-11-01
Business code 621111
Sponsor’s telephone number 2562332157
Plan sponsor’s address 22281 US HWY 72 EAST, SUITES BC, ATHENS, AL, 356132600

Plan administrator’s name and address
Administrator’s EIN 630798067
Plan administrator’s name LIMESTONE RADIOLOGY ASSOCIATES P.C.
Plan administrator’s address 22281 US HWY 72 EAST, SUITES BC, ATHENS, AL, 356132600
Administrator’s telephone number 2562332157

Signature of
Role Plan administrator
Date 2011-09-30
Name of individual signing JOSEPH M. CANNON, M.D.
Role Employer/plan sponsor
Date 2011-09-30
Name of individual signing JOSEPH M. CANNON, M.D.
LIMESTONE RADIOLOGY ASSOCIATES, P.C. 401K PROFIT SHARING PLAN 2009 630798067 2010-10-12 LIMESTONE RADIOLOGY ASSOCIATES P.C. 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1980-11-01
Business code 621111
Sponsor’s telephone number 2562332157
Plan sponsor’s address 22281 US HWY 72 EAST, SUITES BC, ATHENS, AL, 356132600

Plan administrator’s name and address
Administrator’s EIN 630798067
Plan administrator’s name LIMESTONE RADIOLOGY ASSOCIATES P.C.
Plan administrator’s address 22281 US HWY 72 EAST, SUITES BC, ATHENS, AL, 356132600
Administrator’s telephone number 2562332157

Signature of
Role Plan administrator
Date 2010-10-12
Name of individual signing JOSEPH M. CANNON, M.D.
Role Employer/plan sponsor
Date 2010-10-12
Name of individual signing JOSEPH M. CANNON, M.D.

Incorporator

Name Role Address
CANNON, JOSEPH MARTIN Incorporator No data
CANNON, DONNA SMITH Incorporator No data
FEIGLEY, GEORGE W Incorporator 105 W WASHINGTON STATHENS, AL 35611

Agent

Name Role
CANNON, JOSEPH M Agent

Related by officers

FEIGLEY, GEORGE W

JOHNSON, FEIGLEY, NEWTON & BRAND LLP Johnson, Feigley, Newton & McCoy, LLP Johnson, Feigley & Newton, LLP Johnson, Feigley, Newton & Brand, LLP JFN, LLP

CANNON, JOSEPH M

East Side Strip, L.L.C. Johnson's Orchard, L.L.C. Sunset Properties, L.L.C. East Limestone Sewer, L.L.C. Linton Farms, L.L.C. Hasting Road, L.L.C. Cannon Family, L.L.C. Market Properties, L.L.C. PresCan Development, L.L.C.

Related by address

ATHENS, AL

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Date of last update: 31 Jul 2024

Sources: Alabama Secretary of State

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