| Entity Name: | CRESTVIEW MRI, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Profit |
| Status: | Active |
| Date Filed: | 06 May 2008 (17 years ago) |
| Branch of: | CRESTVIEW MRI, INC., ALABAMA (Company Number 000-256-184) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 01 Oct 2012 (12 years ago) |
| Document Number: | F08000002065 |
| FEI/EIN Number | 260333623 |
| Address: | 700 HOSPITAL DRIVE, CRESTVIEW, FL, 32539 |
| Mail Address: | 700 HOSPITAL DRIVE, CRESTVIEW, FL, 32539 |
| ZIP code: | 32539 |
| County: | Okaloosa |
| Place of Formation: | ALABAMA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1043494164 | 2007-12-26 | 2007-12-26 | 2003A WHITESBURG DR S, HUNTSVILLE, AL, 358014543, US | 700 HOSPITAL DRIVE, CRESTVIEW, FL, 32539, US | |||||||||||||||||
|
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| Phone | +1 256-536-3550 |
| Fax | 2567041535 |
| Phone | +1 850-398-8573 |
Authorized person
| Name | BART A MEDLEN |
| Role | OWNER |
| Phone | 2565363550 |
Taxonomy
| Taxonomy Code | 261QR0200X - Radiology Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| STOLTMAN ANGIE | Agent | 700 HOSPITAL DRIVE, CRESTVIEW, FL, 32539 |
| Name | Role | Address |
|---|---|---|
| MEDLEN BART A | Director | 700 HOSPITAL DRIVE, CRESTVIEW, FL, 32539 |
| Name | Role | Address |
|---|---|---|
| MEDLEN BART A | President | 700 HOSPITAL DRIVE, CRESTVIEW, FL, 32539 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G10000009488 | THE CENTER OF IMAGING EXCELLENCE | ACTIVE | 2010-01-29 | 2025-12-31 | No data | 700 HOSPITAL DRIVE, CRESTVIEW, FL, 32539 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2012-10-01 | 700 HOSPITAL DRIVE, CRESTVIEW, FL 32539 | No data |
| REINSTATEMENT | 2012-10-01 | No data | No data |
| REVOKED FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| REINSTATEMENT | 2011-10-03 | No data | No data |
| REVOKED FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| REINSTATEMENT | 2010-10-01 | No data | No data |
| REVOKED FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-06-25 | 700 HOSPITAL DRIVE, CRESTVIEW, FL 32539 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-06-25 | 700 HOSPITAL DRIVE, CRESTVIEW, FL 32539 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-15 |
| ANNUAL REPORT | 2023-03-24 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-02-02 |
| ANNUAL REPORT | 2020-03-18 |
| ANNUAL REPORT | 2019-02-08 |
| ANNUAL REPORT | 2018-06-27 |
| ANNUAL REPORT | 2017-01-10 |
| ANNUAL REPORT | 2016-01-26 |
| ANNUAL REPORT | 2015-06-16 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
