| Entity Name: | PRECISION DIAGNOSTIC OF LAKE WORTH, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 05 Dec 2008 (16 years ago) |
| Document Number: | L08000111551 |
| FEI/EIN Number | 26-3827047 |
| Address: | 2311 Tenth Avenue North, Suite #2, Lake Worth, FL 33461 |
| Mail Address: | 2311 Tenth Avenue North, Suite #2, Lake Worth, FL 33461 |
| ZIP code: | 33461 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1669614491 | 2009-03-25 | 2009-03-25 | 1722 S CONGRESS AVE, 1722A, PALM SPRINGS, FL, 334612140, US | 1722 S CONGRESS AVE, 1722A, PALM SPRINGS, FL, 334612140, US | |||||||||||||||||||
|
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| Phone | +1 561-623-8346 |
| Fax | 5616238347 |
Authorized person
| Name | MR. BRIAN CHAN-A-SUE |
| Role | PRESIDENT |
| Phone | 5613170078 |
Taxonomy
| Taxonomy Code | 261QM1200X - Magnetic Resonance Imaging (MRI) Clinic/Center |
| License Number | FILE # 8803 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Chan-A-Sue, Brian I | Agent | 2311 Tenth Avenue North, Suite 2, Lake Worth, FL 33461 |
| Name | Role | Address |
|---|---|---|
| CHAN-A-SUE, BRIAN I | President | 163 Dockside Circle, Weston, FL 33327 |
| Name | Role | Address |
|---|---|---|
| Chin, Richard | V P | 163 Dockside Circle, Weston, FL 33327 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000004159 | LAKE WORTH MRI | ACTIVE | 2016-01-11 | 2026-12-31 | No data | 163 DOCKSIDE CIRCLE, WESTON, FL, 33327 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2022-02-28 | 2311 Tenth Avenue North, Suite #2, Lake Worth, FL 33461 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-03-06 | 2311 Tenth Avenue North, Suite 2, Lake Worth, FL 33461 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-03-29 | 2311 Tenth Avenue North, Suite #2, Lake Worth, FL 33461 | No data |
| REGISTERED AGENT NAME CHANGED | 2017-03-29 | Chan-A-Sue, Brian I | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-02-01 |
| ANNUAL REPORT | 2022-02-28 |
| ANNUAL REPORT | 2021-03-23 |
| ANNUAL REPORT | 2020-02-09 |
| ANNUAL REPORT | 2019-03-09 |
| ANNUAL REPORT | 2018-03-06 |
| ANNUAL REPORT | 2017-03-29 |
| ANNUAL REPORT | 2016-04-10 |
| AMENDED ANNUAL REPORT | 2015-11-04 |
Date of last update: 26 Jan 2025
Sources: Florida Department of State
