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  5. High Tech Imaging Center, Inc.

High Tech Imaging Center, Inc.

Details

Name: High Tech Imaging Center, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 10 Dec 2003 (21 years ago)
Entity Number: 000-232-379
Register Number: 000232379
ZIP code: 36116
County: Montgomery
Place of Formation: Montgomery County
Registered Office Street Address: 4060 EASTERN BLVDMONTGOMERY, AL 36116
Authorized Capital: $1,000

Activities CONDUCT AN MRI OR IMAGING CENTER

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1588753297 2006-10-12 2008-02-21 1510 FOREST AVE, SUITE B, MONTGOMERY, AL, 361061517, US 1510 FOREST AVE, SUITE B, MONTGOMERY, AL, 361061517, US

Contacts
Phone +1 334-256-7213

Authorized person
Name MR. REVA ESMAILI
Role PRESIDENT
Phone 3342657213

Taxonomy
Taxonomy Code 247100000X - Radiologic Technologist
Is Primary No
Taxonomy Code 2471C3401X - Computed Tomography Radiologic Technologist
Is Primary No
Taxonomy Code 2471C3402X - Radiography Radiologic Technologist
Is Primary No
Taxonomy Code 2471M1202X - Magnetic Resonance Imaging Radiologic Technologist
Is Primary Yes

Other Provider Identifiers
Issuer BCBS
Number 51521424
State AL
Issuer BCBS
Number 51521426
State AL
Issuer BCBS
Number 51533081
State AL
Issuer BCBS
Number 51521427
State AL
Issuer BCBS
Number 51521429
State AL
Issuer BCBS
Number 51521431
State AL
Issuer BCBS
Number 51526731
State AL
Issuer BCBS
Number 51521430
State AL
Issuer RAIL ROAD MEDICARE
Number P00388885
State AL
Issuer BCBS
Number 51521432
State AL
Issuer BCBS
Number 51521425
State AL
Issuer BCBS
Number 51521428
State AL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HIGH TECH IMAGING (WELFARE PLAN) 2022 200497490 2023-07-27 HIGH TECH IMAGING CENTER 17
File View Page
Three-digit plan number (PN) 951
Effective date of plan 2019-07-01
Business code 325200
Sponsor’s telephone number 3342657213
Plan sponsor’s address 1510 FOREST AVENUE, MONTGOMERY, AL, 36106

Plan administrator’s name and address
Administrator’s EIN 472506773
Plan administrator’s name KENNION & CO LLC
Plan administrator’s address 2828 OLD 280 COURT, SUITE 110, VESTAVIA, AL, 35243
Administrator’s telephone number 8669665457

Signature of
Role Plan administrator
Date 2023-07-19
Name of individual signing W. HAL SHEPHERD
Role Employer/plan sponsor
Date 2023-07-19
Name of individual signing W. HAL SHEPHERD
HIGH TECH IMAGING (WELFARE PLAN) 2021 200497490 2022-07-29 HIGH TECH IMAGING CENTER 17
File View Page
Three-digit plan number (PN) 951
Effective date of plan 2019-07-01
Business code 325200
Sponsor’s telephone number 3342657213
Plan sponsor’s address 1510 FOREST AVENUE, MONTGOMERY, AL, 36106

Plan administrator’s name and address
Administrator’s EIN 472506773
Plan administrator’s name KENNION & CO LLC
Plan administrator’s address 2828 OLD 280 COURT, SUITE 110, VESTAVIA, AL, 35243
Administrator’s telephone number 8669665457

Signature of
Role Plan administrator
Date 2022-07-21
Name of individual signing W. HAL SHEPHERD
Role Employer/plan sponsor
Date 2022-07-21
Name of individual signing W. HAL SHEPHERD
HIGH TECH IMAGING (WELFARE PLAN) 2020 200497490 2021-07-25 HIGH TECH IMAGING CENTER 16
File View Page
Three-digit plan number (PN) 951
Effective date of plan 2019-07-01
Business code 325200
Sponsor’s telephone number 3342657213
Plan sponsor’s address 1510 FOREST AVENUE, MONTGOMERY, AL, 36106

Plan administrator’s name and address
Administrator’s EIN 472506773
Plan administrator’s name KENNION & CO LLC
Plan administrator’s address 2828 OLD 280 COURT, SUITE 110, VESTAVIA, AL, 35243
Administrator’s telephone number 8669665457

Signature of
Role Plan administrator
Date 2021-07-20
Name of individual signing W. HAL SHEPHERD
Role Employer/plan sponsor
Date 2021-07-20
Name of individual signing W. HAL SHEPHERD
HIGH TECH IMAGING (WELFARE PLAN) 2019 200497490 2020-07-30 HIGH TECH IMAGING CENTER 0
File View Page
Three-digit plan number (PN) 951
Effective date of plan 2019-07-01
Business code 325200
Sponsor’s telephone number 3342657213
Plan sponsor’s address 1510 FOREST AVENUE, MONTGOMERY, AL, 36106

Plan administrator’s name and address
Administrator’s EIN 472506773
Plan administrator’s name KENNION & CO LLC
Plan administrator’s address 800 CORPORATE PKWY STE 100, BIRMINGHAM, AL, 35242
Administrator’s telephone number 8669665457

Signature of
Role Plan administrator
Date 2020-07-30
Name of individual signing W. HAL SHEPHERD
Role Employer/plan sponsor
Date 2020-07-30
Name of individual signing W. HAL SHEPHERD

Agent

Name Role
ESMAILI, MOHAMMAD REZ Agent

Incorporator

Name Role Address
ESMAILI, MOHAMMAD REZA Incorporator 1510 FOREST AVENUEMONTGOMERY, AL 36106
RYAN, PATRICK G Incorporator No data
RIGSBY, THOMAS W Incorporator No data

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
7741367007 2020-04-08 0459 PPP 1510 FOREST AVE, MONTGOMERY, AL, 36106-1517
Loan Status Date 2021-06-15
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 170461
Loan Approval Amount (current) 170461
Undisbursed Amount 0
Franchise Name -
Lender Location ID 45120
Servicing Lender Name Valley National Bank
Servicing Lender Address 615 Main Ave, PASSAIC, NJ, 07055-5066
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address MONTGOMERY, MONTGOMERY, AL, 36106-1517
Project Congressional District AL-07
Number of Employees 31
NAICS code 334510
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 45120
Originating Lender Name Valley National Bank
Originating Lender Address PASSAIC, NJ
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 172288.72
Forgiveness Paid Date 2021-05-10
7563238409 2021-02-12 0459 PPS 1510 Forest Ave, Montgomery, AL, 36106-1517
Loan Status Date 2022-01-14
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 167440
Loan Approval Amount (current) 167440
Undisbursed Amount 0
Franchise Name -
Lender Location ID 45120
Servicing Lender Name Valley National Bank
Servicing Lender Address 615 Main Ave, PASSAIC, NJ, 07055-5066
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Montgomery, MONTGOMERY, AL, 36106-1517
Project Congressional District AL-07
Number of Employees 27
NAICS code 334510
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 45120
Originating Lender Name Valley National Bank
Originating Lender Address PASSAIC, NJ
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 168826.03
Forgiveness Paid Date 2021-12-22

Related by officers

ESMAILI, MOHAMMAD REZA

MEDimage, Inc. MEDimage Services, LLC RER, L.L.C.

RYAN, PATRICK G

Ryan Company, Inc. Sanctuary Investment Group, LLC Sanctuary Cigars, LLC O'Bryan Investments, LLC Seneca Enterprises, L.L.C. Coastal Fitness, L.L.C. Allian Group, LLC Structured Solutions, LLC Southeastern Aircraft Leasing, LLC RER, L.L.C.

RIGSBY, THOMAS W

RER, L.L.C.

Related by address

4060 EASTERN BLVDMONTGOMERY, AL 36116

MEDimage, Inc.

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State

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