| Entity Name: | MEDICAL CENTER IMAGING, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 30 Jun 2004 (21 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 05 Nov 2015 (9 years ago) |
| Document Number: | L04000049291 |
| FEI/EIN Number | 34-2002525 |
| Address: | 4623 FOREST HILL BLVD., SUITE 110, WEST PALM BEACH, FL 33415 |
| Mail Address: | 4623 FOREST HILL BLVD., SUITE 110, WEST PALM BEACH, FL 33415 |
| ZIP code: | 33415 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1669878526 | 2014-11-05 | 2014-11-05 | 4623 FOREST HILL BLVD, SUITE 101, WEST PALM BEACH, FL, 334157469, US | 2700 W CYPRESS CREEK RD, SUITE C11, FT LAUDERDALE, FL, 333091744, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 561-967-8888 |
| Fax | 5616418303 |
| Phone | +1 954-974-6191 |
Authorized person
| Name | RUSS SEGER |
| Role | PRESIDENT OWNER |
| Phone | 5619678888 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | ACHA LICENSE |
| Number | HCC6061 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SEGER, RUSS | Agent | 4623 FOREST HILL BLVD., SUITE 110, WEST PALM BEACH, FL 33415 |
| Name | Role | Address |
|---|---|---|
| SEGER, RUSS | Managing Member | 4623 FOREST HILL BLVD., SUITE 110, WEST PALM BEACH, FL 33415 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2015-11-06 | 4623 FOREST HILL BLVD., SUITE 110, WEST PALM BEACH, FL 33415 | No data |
| LC STMNT OF RA/RO CHG | 2015-11-05 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2015-11-05 | SEGER, RUSS | No data |
| LC NAME CHANGE | 2009-03-09 | MEDICAL CENTER IMAGING, LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-26 |
| ANNUAL REPORT | 2023-03-09 |
| ANNUAL REPORT | 2022-04-04 |
| ANNUAL REPORT | 2021-03-16 |
| ANNUAL REPORT | 2020-05-22 |
| ANNUAL REPORT | 2019-04-22 |
| ANNUAL REPORT | 2018-03-12 |
| ANNUAL REPORT | 2017-01-09 |
| ANNUAL REPORT | 2016-03-07 |
| ANNUAL REPORT | 2015-03-19 |
Date of last update: 05 Jan 2025
Sources: Florida Department of State
