| Entity Name: | PINES IMAGING CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 11 Jan 2016 (9 years ago) |
| Document Number: | L16000007682 |
| FEI/EIN Number | 81-1106330 |
| Address: | 9696 PINES BLVD., PEMBROKE PINES, FL 33024 |
| Mail Address: | 9696 PINES BLVD., PEMBROKE PINES, FL 33024 |
| ZIP code: | 33024 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1598213746 | 2016-09-16 | 2016-09-16 | 9696 PINES BLVD, PEMBROKE PINES, FL, 330246246, US | 9696 PINES BLVD, PEMBROKE PINES, FL, 330246246, US | |||||||||||||||||||||
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| Phone | +1 954-530-8824 |
| Fax | 9545308819 |
Authorized person
| Name | BRIAN CHAN-A-SUE |
| Role | GM |
| Phone | 9545308824 |
Taxonomy
| Taxonomy Code | 2471M1202X - Magnetic Resonance Imaging Radiologic Technologist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | STATE REGISTRATION NUMBER |
| Number | G16000010749 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Chan-A-Sue, Brian I | Agent | 9696 Pines Blvd, Pembroke Pines, FL 33024 |
| Name | Role | Address |
|---|---|---|
| CHAN-A-SUE, Brian I | Chief Operating Officer | 163 Dockside Circle, Weston, FL 33327 |
| Name | Role | Address |
|---|---|---|
| CHIN, RICHARD | President | 9696 PINES BLVD., PEMBROKE PINES, FL 33024 |
| Name | Role | Address |
|---|---|---|
| WONG, NIGEL | Manager | 9696 PINES BLVD., PEMBROKE PINES, FL 33024 |
| Garcia Gomez, Cristina | Manager | 9696 PINES BLVD., PEMBROKE PINES, FL 33024 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000010749 | PINES MRI | ACTIVE | 2016-01-29 | 2026-12-31 | No data | 9696 PINES BLVD., PEMBROKE PINES, FL, 33024 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2018-03-06 | 9696 Pines Blvd, Pembroke Pines, FL 33024 | 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 |
| AMENDED ANNUAL REPORT | 2018-07-23 |
| ANNUAL REPORT | 2018-03-06 |
| ANNUAL REPORT | 2017-03-29 |
| Florida Limited Liability | 2016-01-11 |
Date of last update: 20 Jan 2025
Sources: Florida Department of State
