| Entity Name: | MOBILE CARDIOVASCULAR IMAGING LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 07 Dec 2021 (3 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 27 Jan 2022 (3 years ago) |
| Document Number: | L21000516250 |
| FEI/EIN Number | 87-3902817 |
| Address: | 8360 LAUREL LAKES BLVD, NAPLES, FL 34119 |
| Mail Address: | 1990 BALD EAGLE DRIVE, UNIT B, NAPLES, FL 34105 |
| ZIP code: | 34119 |
| County: | Collier |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1497407753 | 2022-01-18 | 2024-01-31 | 1990 BALD EAGLE DR UNIT B, NAPLES, FL, 341052974, US | 8360 LAUREL LAKES BLVD, NAPLES, FL, 341199792, US | |||||||||||||||
|
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| Phone | +1 239-272-7943 |
| Phone | +1 954-613-9407 |
Authorized person
| Name | DAVID PATRICK |
| Role | OWNER |
| Phone | 2392727943 |
Taxonomy
| Taxonomy Code | 335V00000X - Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| Is Primary | Yes |
| Name | Role |
|---|---|
| DAVID PATRICK COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| PATRICK, DAVID | Authorized Member | 1990 BALD EAGLE DRIVE UNIT B, NAPLES, FL 34105 |
| AZAD, HASHEM, DO | Authorized Member | 1878 IVORY CANE POINTE, NAPLES, FL 34119 |
| BUSHATI, BESNIK | Authorized Member | 8360 LAUREL LAKES BLVD, NAPLES, FL 34119 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-04-04 | 8360 LAUREL LAKES BLVD, NAPLES, FL 34119 | No data |
| LC AMENDMENT | 2022-01-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-04 |
| ANNUAL REPORT | 2023-02-02 |
| LC Amendment | 2022-01-27 |
| Florida Limited Liability | 2021-12-07 |
Date of last update: 13 Jan 2025
Sources: Florida Department of State
