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TALLAHASSEE DIAGNOSTIC IMAGING CENTER, LTD.

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
FOWLER CARA J Agent 1600 PHILLIPS ROAD, TALLAHASSEE, FL, 32308

Fictitious Names

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

Events

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

Documents

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