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SOUTHEAST MRI, LLC

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
Preferred Physicians Management Services, Agent 1515 N Federal Highway, Boca Raton, FL, 33432

Managing Member

Name Role Address
Brown Gary Managing Member 1515 N Federal Highway, Boca Raton, FL, 33432

Events

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