Entity Name: | TALLAHASSEE DIAGNOSTIC IMAGING CENTER, LTD. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Limited Partnership |
Status: | Active |
Date Filed: | 30 Apr 2004 (21 years ago) |
Last Event: | REINSTATEMENT |
Event Date Filed: | 26 Oct 2018 (6 years ago) |
Document Number: | A04000000712 |
FEI/EIN Number | 592601294 |
Address: | 1600 PHILLIPS ROAD, TALLAHASSEE, FL, 32308, US |
Mail Address: | 1600 PHILLIPS ROAD, TALLAHASSEE, FL, 32308 |
ZIP code: | 32308 |
County: | Leon |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1255087680 | 2022-02-24 | 2022-02-24 | PO BOX 21348, TAMPA, FL, 336221348, US | 2459 MAHAN DR, TALLAHASSEE, FL, 323082307, US | |||||||||||||||
|
Phone | +1 800-475-6112 |
Phone | +1 850-878-4127 |
Authorized person
Name | JOHN R DETELICH |
Role | CEO |
Phone | 8508784127 |
Taxonomy
Taxonomy Code | 2085R0202X - Diagnostic Radiology Physician |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
FOWLER CARA J | Agent | 1600 PHILLIPS ROAD, TALLAHASSEE, FL, 32308 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G20000130347 | EXPRESS MRI | ACTIVE | 2020-10-07 | 2025-12-31 | No data | 1600 PHILLIPS RD, TALLAHASSEE, FL, 32308 |
G20000010215 | TALLAHASSEE DIAGNOSTIC IMAGING | ACTIVE | 2020-01-22 | 2025-12-31 | No data | 1600 PHILLIPS RD, TALLAHASSEE, FL, 32308 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REGISTERED AGENT NAME CHANGED | 2018-10-26 | FOWLER, CARA J | No data |
REINSTATEMENT | 2018-10-26 | No data | No data |
REVOKED FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2013-01-24 | 1600 PHILLIPS ROAD, TALLAHASSEE, FL 32308 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2010-11-04 | 1600 PHILLIPS ROAD, TALLAHASSEE, FL 32308 | No data |
REINSTATEMENT | 2010-11-04 | No data | No data |
CHANGE OF MAILING ADDRESS | 2010-11-04 | 1600 PHILLIPS ROAD, TALLAHASSEE, FL 32308 | No data |
REVOKED FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-02-28 |
ANNUAL REPORT | 2023-04-10 |
ANNUAL REPORT | 2022-03-03 |
ANNUAL REPORT | 2021-03-11 |
ANNUAL REPORT | 2020-01-22 |
ANNUAL REPORT | 2019-02-04 |
REINSTATEMENT | 2018-10-26 |
ANNUAL REPORT | 2017-01-09 |
ANNUAL REPORT | 2016-02-04 |
ANNUAL REPORT | 2015-01-12 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State