{"entity":{"id":11723456,"state":"FL","state_id":"L86025","entity_name":"GREATER JACKSONVILLE LITHOTRIPSY SERVICES, INC.","entity_type":"DOMP","entity_type_normalized":"domestic_profit","status":"I","filing_date":"1990-07-05","filing_year":1990,"business_age_years":36,"principal_address1":"2342 FOXHAVEN DR W","principal_address2":"","principal_city":"JACKSONVILLE","principal_state":"FL","principal_zip":"32224","principal_country":"US","mail_address1":"7003 CHADWICK DR","mail_address2":"STE 321","mail_city":"BRENTWOOD","mail_state":"TN","mail_zip":"37027-5232","mail_country":"US","location_name":null,"location_address1":null,"location_address2":null,"location_city":null,"location_state":null,"location_zip":null,"fei_ein":"593026688","jurisdiction":null,"county":null,"last_transaction_date":"01142016","report_year_1":"2015","report_date_1":"03112015","report_year_2":"2015","report_date_2":"03112015","report_year_3":"2014","report_date_3":"02242014","agent_name":"Ronald D. Fairchild","agent_type":"C","agent_address":"1000 Riverside Ave Ste 100","agent_city":"JACKSONVILLE","agent_state":"FL","agent_zip":"32204","process_name":null,"process_address1":null,"process_address2":null,"process_city":null,"process_state":null,"process_zip":null,"source_file":"cordata5.txt","fetched_at":"2026-05-09 13:26:39","updated_at":"2026-05-09 13:26:39","last_accessed":null,"status_reason":null,"agent_name_raw":"FAIRCHILD, RONALD D."},"officers":[{"name":"Marc H Blasser","first_name":"Marc","last_name":"Blasser","title":"Director","title_roles":["Director"],"title_code":"director","is_registered_agent":false,"address":"3291 DOCTORS LAKE DR","city":"ORANGE PARK","state":"FL","zip":"32065","name_raw":"BLASSER             MARC          H"},{"name":"Mark Homra","first_name":"Mark","last_name":"Homra","title":"Treasurer, Director","title_roles":["Treasurer","Director"],"title_code":"td","is_registered_agent":false,"address":"8148 BLUE JAY LN","city":"JACKSONVILLE","state":"FL","zip":"32256","name_raw":"HOMRA               MARK"},{"name":"George I. Miguel JR","first_name":"George","last_name":"Miguel","title":"Vice President, President, Director","title_roles":["Vice President","President","Director"],"title_code":"vpd","is_registered_agent":false,"address":"3627 UNIVERSITY BLVD. S. #505","city":"JACKSONVILLE","state":"FL","zip":"32216","name_raw":"MIGUEL              GEORGE I. JR."},{"name":"Mohammed Mona","first_name":"Mohammed","last_name":"Mona","title":"Secretary, Director","title_roles":["Secretary","Director"],"title_code":"sd","is_registered_agent":false,"address":"3599 S UNIVERSITY STE 405","city":"JACKSONVILLE","state":"FL","zip":"32216","name_raw":"MONA                MOHAMMED"},{"name":"Christopher S West","first_name":"Christopher","last_name":"West","title":"President, Director","title_roles":["President","Director"],"title_code":"pd","is_registered_agent":false,"address":"7937 MONTEREY BAY DR","city":"JACKSONVILLE","state":"FL","zip":"32256","name_raw":"WEST                CHRISTOPHER   S"}],"filing_history":[],"status_history":[],"unknown":["status_history: we do not collect status-change histories from the source feeds, so this empty list means we hold none — NOT that this company's status has never changed. Observed changes we DID see are under `history`."],"verified_domains":[],"history":null,"web_contact":null,"provenance_url":"https://private.rootz.global/api/provenance/FL/L86025"}