0001883604-21-000001.txt : 20210917 0001883604-21-000001.hdr.sgml : 20210917 20210916192733 ACCESSION NUMBER: 0001883604-21-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210917 DATE AS OF CHANGE: 20210916 EFFECTIVENESS DATE: 20210917 FILER: COMPANY DATA: COMPANY CONFORMED NAME: EPIC Imaging, P.C. CENTRAL INDEX KEY: 0001883604 IRS NUMBER: 930584121 STATE OF INCORPORATION: OR FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-413725 FILM NUMBER: 211258942 BUSINESS ADDRESS: STREET 1: 233 NE 102ND AVE CITY: PORTLAND STATE: OR ZIP: 97220 BUSINESS PHONE: 5035357009 MAIL ADDRESS: STREET 1: 233 NE 102ND AVE CITY: PORTLAND STATE: OR ZIP: 97220 D 1 primary_doc.xml X0708 D LIVE 0001883604 EPIC Imaging, P.C. 233 NE 102ND AVE PORTLAND OR OREGON 97220 5035357009 OREGON East Portland Imaging Center, P.C. East Portland X-Ray Clinic, P.C. Gerald L. Warnock, M.D., P.C. None Corporation true Daniel R Kocarnik 233 NE 102nd Ave Portland OR OREGON 97220 Executive Officer Director Priscilla W Wallace 233 NE 102nd Ave Portland OR OREGON 97220 Executive Officer Director Kellie Schenk 233 NE 102nd Ave Portland OR OREGON 97220 Director Christopher Altenhofen 233 NE 102nd Ave Portland OR OREGON 97220 Executive Officer Director Warren S Tubbs 233 NE 102nd Ave Portland OR OREGON 97220 Director Other Health Care Decline to Disclose 06b false 2021-09-01 false true false 221838 221838 221838 0 false 1 0 0 0 false EPIC Imaging, P.C. /s/ Kenneth R. Haglund, Jr. Kenneth R. Haglund, Jr. Attorney-in-fact 2021-09-16