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RADIOLOGY SCIENCE INSTITUTE OF MIAMI, LLC - Florida Company Profile

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Company Details

Entity Name: RADIOLOGY SCIENCE INSTITUTE OF MIAMI, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 10 Dec 2021 (4 years ago)
Document Number: L21000522069
FEI/EIN Number 88-1960169
Address: 7947 NW 2ND STREET, MIAMI, FL, 33126
Mail Address: 60 W. KALEY STREET, ORLANDO, FL, 32806
ZIP code: 33126
City: Miami
County: Miami-Dade
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
MAHAN SEAN M Manager 60 W. KALEY STREET, ORLANDO, FL, 32806
TIEDE ERIN Agent 60 W. KALEY STREET, ORLANDO, FL, 32806

National Provider Identifier

NPI Number:
1780393983
Certification Date:
2022-11-16

Authorized Person:

Name:
DR. SEAN MARIUS MAHAN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QR0200X - Radiology Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
3054569293

Documents

Name Date
ANNUAL REPORT 2024-04-23
ANNUAL REPORT 2023-04-24
ANNUAL REPORT 2022-04-26
Florida Limited Liability 2021-12-10

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Date of last update: 03 Jul 2025

Sources: Florida Department of State