| Entity Name: | ASCENT DIAGNOSTIC IMAGING OF JACKSONVILLE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 31 Mar 2008 (17 years ago) |
| Date of dissolution: | 27 Sep 2013 (11 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2013 (11 years ago) |
| Document Number: | L08000032141 |
| FEI/EIN Number | 262323504 |
| Address: | 2100 S.E. OCEAN BOULEVARD, SUITE 102, STUART, FL, 34996 |
| Mail Address: | 2100 S.E. OCEAN BOULEVARD, SUITE 102, STUART, FL, 34996 |
| ZIP code: | 34996 |
| County: | Martin |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538333117 | 2008-04-15 | 2008-06-03 | 5210 BELFORT RD, STE 130, JACKSONVILLE, FL, 322566024, US | 5210 BELFORT RD, STE 130, JACKSONVILLE, FL, 322566024, US | |||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 904-470-4000 |
Authorized person
| Name | MICHAEL FAGIEN |
| Role | COO |
| Phone | 8134961075 |
Taxonomy
| Taxonomy Code | 2085B0100X - Body Imaging Physician |
| License Number | ME59548 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 2085D0003X - Diagnostic Neuroimaging (Radiology) Physician |
| License Number | ME59548 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 2085N0700X - Neuroradiology Physician |
| License Number | ME59548 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 2085R0202X - Diagnostic Radiology Physician |
| License Number | ME59548 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MORTELL EDWIN E | Agent | 416 S.E. FLAMINGO AVENUE, STUART, FL, 34996 |
| Name | Role |
|---|---|
| ASCENT, LLC | Managing Member |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2012-03-22 |
| ANNUAL REPORT | 2011-03-15 |
| ANNUAL REPORT | 2010-02-10 |
| ANNUAL REPORT | 2009-04-16 |
| Florida Limited Liability | 2008-03-31 |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
