Entity Name: | SOUTHEAST MRI, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Inactive |
Date Filed: | 04 May 2000 (25 years ago) |
Document Number: | L00000005152 |
FEI/EIN Number | 651012637 |
Address: | 1515 N Federal Highway, BOA RATON, FL, 33432, US |
Mail Address: | 1515 N Federal Highway, BOA RATON, FL, 33432, US |
ZIP code: | 33432 |
County: | Palm Beach |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1922129121 | 2007-04-03 | 2008-04-24 | 2295 NW CORPORATE BLVD, SUITE 140, BOCA RATON, FL, 334317323, US | 1950 N FEDERAL HWY, POMPANO BEACH, FL, 330621003, US | |||||||||||||||||||
|
Phone | +1 561-241-1971 |
Fax | 5612413969 |
Phone | +1 954-784-6292 |
Fax | 9547846229 |
Authorized person
Name | EVAN SADE |
Role | CONSULTANT |
Phone | 9548179402 |
Taxonomy
Taxonomy Code | 261Q00000X - Clinic/Center |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
Preferred Physicians Management Services, | Agent | 1515 N Federal Highway, Boca Raton, FL, 33432 |
Name | Role | Address |
---|---|---|
Brown Gary | Managing Member | 1515 N Federal Highway, Boca Raton, FL, 33432 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
LC STMNT OF RA/RO CHG | 2014-06-11 | No data | No data |
NAME CHANGE AMENDMENT | 2003-11-25 | SOUTHEAST MRI, LLC | No data |
Date of last update: 01 Jan 2025
Sources: Florida Department of State