0001422824-18-000002.txt : 20180801 0001422824-18-000002.hdr.sgml : 20180801 20180801155436 ACCESSION NUMBER: 0001422824-18-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20180801 DATE AS OF CHANGE: 20180801 EFFECTIVENESS DATE: 20180801 FILER: COMPANY DATA: COMPANY CONFORMED NAME: PLAINS DIAGNOSTIC IMAGING LLC CENTRAL INDEX KEY: 0001422824 IRS NUMBER: 000000000 STATE OF INCORPORATION: OK FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-318289 FILM NUMBER: 18984631 BUSINESS ADDRESS: STREET 1: 1705 WEST 2ND STREET CITY: ELK CITY STATE: OK ZIP: 73644 BUSINESS PHONE: 580-821-5500 MAIL ADDRESS: STREET 1: 1705 WEST 2ND STREET CITY: ELK CITY STATE: OK ZIP: 73644 D 1 primary_doc.xml X0708 D LIVE 0001422824 PLAINS DIAGNOSTIC IMAGING LLC 1801 West 3rd Street ELK CITY OK OKLAHOMA 73644 580-821-5500 OKLAHOMA None None Limited Liability Company true Corey Lively 1801 West 3rd Street Elk City OK OKLAHOMA 73644 Executive Officer Director Chief Executive Officer and Class B Manager Monica Scott 1801 West 3rd Street Elk City OK OKLAHOMA 73644 Executive Officer Director Chief Financial Officer and Class B Manager Jack Morrison, D.D.S. 1801 West 3rd Street Elk City OK OKLAHOMA 73644 Executive Officer Director Class B Manager and Chairperson Craig Phelps, M.D. 1801 West 3rd Street Elk City OK OKLAHOMA 73644 Director Class A Manager Erick DeRocher, D.O. 1801 West 3rd Street Elk City OK OKLAHOMA 73644 Executive Officer Director Class A Manager and Vice Chairperson Other Health Care Decline to Disclose 06b false 2018-07-24 false true false 6250 Plains Diagnostic Imaging, LLC None None None 1801 West 3rd Street Elk City OK OKLAHOMA 73644 OK OKLAHOMA false 187500 187500 0 true 3 6 0 0 0 false PLAINS DIAGNOSTIC IMAGING LLC Corey Lively Corey Lively Chief Executive Officer and Class B Manager 2018-08-01