| Entity Name: | DIAGNOSTIC SERVICE CENTER OF NORTH MIAMI BEACH, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 31 Jul 2007 (18 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 01 Jun 2015 (10 years ago) |
| Document Number: | L07000078491 |
| FEI/EIN Number | 260627441 |
| Address: | 88 NE 168 St, North Miami Beach, FL, 33162, US |
| Mail Address: | 88 NE 168 St, North Miami Beach, FL, 33162, US |
| ZIP code: | 33162 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1881865079 | 2008-03-17 | 2008-12-03 | 88 NE 168TH ST, NORTH MIAMI BEACH, FL, 331623410, US | 1 NE 167TH ST, NORTH MIAMI BEACH, FL, 331623402, US | |||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 305-770-4343 |
| Fax | 3057704373 |
| Fax | 3057704343 |
Authorized person
| Name | MS. SHARON TREMBLAY |
| Role | BUSINESS DEVELOPMENT |
| Phone | 3057704343 |
Taxonomy
| Taxonomy Code | 261QR0200X - Radiology Clinic/Center |
| License Number | HCC6911 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | V3305 |
| State | FL |
| Issuer | NEIGHBORHOOD HEALTH PLAN |
| Number | 64817 |
| State | FL |
| Issuer | AVMED |
| Number | 319618 |
| State | FL |
| Issuer | FREEDOM HEALTH |
| Number | F300153 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Chamoun Nazih | Agent | 88 NE 168 St, North Miami Beach, FL, 33162 |
| Name | Role | Address |
|---|---|---|
| CHAMOUN NAZIH | Manager | 88 NE 168 St, North Miami Beach, FL, 33162 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G09000166027 | FOUNTAIN IMAGING | EXPIRED | 2009-10-16 | 2014-12-31 | No data | 1 NE 167TH STREET, NORTH MIAMI BEACH, FL, 33162 |
| G09000153465 | SKY IMAGING | EXPIRED | 2009-09-08 | 2014-12-31 | No data | 88 NE 167TH STREET, NORTH MIAMI BEACH, FL, 33162 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2022-03-30 | 88 NE 168 St, North Miami Beach, FL 33162 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-03-30 | 88 NE 168 St, North Miami Beach, FL 33162 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-05-15 | 88 NE 168 St, North Miami Beach, FL 33162 | No data |
| REGISTERED AGENT NAME CHANGED | 2019-04-26 | Chamoun, Nazih | No data |
| REINSTATEMENT | 2015-06-01 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| LC AMENDMENT | 2009-10-20 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J12000380660 | TERMINATED | 1000000275885 | DADE | 2012-04-30 | 2032-05-02 | $ 12,154.02 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, OUT OF STATE/CENTRAL COLLECTIONS UNIT, 5050 W TENNESSEE ST, TALLAHASSEE FL323996586 |
| J12000380686 | TERMINATED | 1000000275887 | DADE | 2012-04-30 | 2032-05-02 | $ 825.00 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI NORTH SERVICE CENTER, 8175 NW 12TH ST STE 119, DORAL FL331261828 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-23 |
| ANNUAL REPORT | 2023-04-20 |
| ANNUAL REPORT | 2022-03-30 |
| ANNUAL REPORT | 2021-04-23 |
| ANNUAL REPORT | 2020-05-15 |
| ANNUAL REPORT | 2019-04-26 |
| ANNUAL REPORT | 2018-04-05 |
| ANNUAL REPORT | 2017-04-11 |
| ANNUAL REPORT | 2016-04-12 |
| REINSTATEMENT | 2015-06-01 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
