| Entity Name: | REGIONAL MRI OF JACKSONVILLE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Profit |
| Status: | Inactive |
| Date Filed: | 03 Jun 2002 (23 years ago) |
| Date of dissolution: | 14 Sep 2007 (17 years ago) |
| Last Event: | REVOKED FOR ANNUAL REPORT |
| Event Date Filed: | 14 Sep 2007 (17 years ago) |
| Document Number: | F02000002744 |
| FEI/EIN Number | 593568075 |
| Address: | 9872 SAN JOSE BOULEVARD, JACKSONVILLE, FL, 32257, US |
| Mail Address: | 9191 TOWNE CENTRE DR 400, SAN DIEGO, CA, 92122, US |
| ZIP code: | 32257 |
| County: | Duval |
| Place of Formation: | COLORADO |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891892493 | 2006-09-19 | 2020-08-22 | PO BOX 201672, DALLAS, TX, 753201672, US | 9872 SAN JOSE BLVD, JACKSONVILLE, FL, 32257, US | |||||||||||||||||||||||
|
|||||||||||||||||||||||||||
| Phone | +1 904-260-2805 |
Authorized person
| Name | MS. LESLIE G WEBER |
| Role | COO |
| Phone | 8584557127 |
Taxonomy
| Taxonomy Code | 2085R0202X - Diagnostic Radiology Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | V2688 |
| State | FL |
| Issuer | AETNA |
| Number | 7012498 |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| MUEHLBERG ROBERT S | Director | 9191 TOWNE CENTRE DRIVE, #400, SAN DIEGO, CA, 92122 |
| ARNWINE DON | Director | 9191 TOWNE CENTRE DR 400, SAN DIEGO, CA, 92122 |
| Name | Role | Address |
|---|---|---|
| MUEHLBERG ROBERT S | President | 9191 TOWNE CENTRE DRIVE, #400, SAN DIEGO, CA, 92122 |
| Name | Role | Address |
|---|---|---|
| ROSS SEIBERT | Chief Executive Officer | 9191 TOWNE CENTRE DRIVE, #400, SAN DIEGO, CA, 92122 |
| Name | Role | Address |
|---|---|---|
| WADSWORTH ANN | Secretary | 9191 TOWNE CENTRE DR 400, SAN DIEGO, CA, 92122 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REVOKED FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2006-04-28 | 9872 SAN JOSE BOULEVARD, JACKSONVILLE, FL 32257 | No data |
| CHANGE OF MAILING ADDRESS | 2006-04-28 | 9872 SAN JOSE BOULEVARD, JACKSONVILLE, FL 32257 | No data |
| REGISTERED AGENT NAME CHANGED | 2005-02-03 | CORPORATION SERVICE COMPANY | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2005-02-03 | 1201 HAYS STREET, TALLAHASSEE, FL 32301 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J07900015784 | LAPSED | 16-2007-CA-005182 | CIR CRT 4TH JUD CIR DUVAL CTY | 2007-10-01 | 2012-10-15 | $93414.01 | PICKWICK PLAZA, LLC, 3740 BEACH BOULEVARD, SUITE 300, JACKSONVILLE, FL 32207 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2006-04-28 |
| ANNUAL REPORT | 2005-02-03 |
| ANNUAL REPORT | 2004-03-15 |
| ANNUAL REPORT | 2003-03-07 |
| Foreign Profit | 2002-06-03 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
