| Entity Name: | MIDWAY ULTRASOUND DIAGNOSTIC SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 26 Jul 2016 (9 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | L16000139961 |
| Address: | 1801 SE HILLMOOR DR., SUITE C-207, PORT SAINT LUCIE, FL 34952 |
| Mail Address: | 1630 JACKSON WAY, ATLANTA, GA 30318 |
| ZIP code: | 34952 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1689127201 | 2016-07-31 | 2016-07-31 | 1801 SE HILLMOOR DR, PORT ST LUCIE, FL, 349527553, US | 1801 SE HILLMOOR DR, PORT ST LUCIE, FL, 349527553, US | |||||||||||||||||
|
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| Phone | +1 678-994-5407 |
Authorized person
| Name | EDWARD FRANCIS CROOKS |
| Role | OWNET |
| Phone | 6789945407 |
Taxonomy
| Taxonomy Code | 261QR0200X - Radiology Clinic/Center |
| License Number | 42861 |
| State | MD |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CROOKS, EDWARD F, DR. | Agent | 356 E MIDWAY RD, FORT PIERCE, FL 34982 |
| Name | Role | Address |
|---|---|---|
| CROOKS, EDWARD F, DR | Authorized Member | 1630 JACKSON WAY, ATLANTA, GA 30318 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2016-07-26 |
Date of last update: 19 Feb 2025
Sources: Florida Department of State
