| Entity Name: | RADIOLOGY ASSOCIATES OF PINELLAS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 11 Jun 2024 (8 months ago) |
| Document Number: | L24000261634 |
| Address: | 10900 SEMINOLE BOULEVARD, LARGO, FL 33778 |
| Mail Address: | 10900 SEMINOLE BOULEVARD, LARGO, FL 33778 |
| ZIP code: | 33778 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1265755672 | 2010-03-12 | 2010-03-12 | PO BOX 834, ELLENTON, FL, 342220834, US | 6705 38TH AVE N, SUITE 1, ST PETERSBURG, FL, 337101536, US | |||||||||||||||
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| Phone | +1 727-388-5884 |
| Fax | 8666872563 |
Authorized person
| Name | BRETT J CHANDLER |
| Role | GENERAL MAANGER |
| Phone | 7273885884 |
Taxonomy
| Taxonomy Code | 261QM1200X - Magnetic Resonance Imaging (MRI) Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| CHESTNUT BUSINESS SERVICES, LLC | Agent |
| Name | Role | Address |
|---|---|---|
| RAZA, ALI, M.D. | President | 20110 GULF BOULEVARD, #400, INDIAN SHORES, FL 33785 |
| Name | Role | Address |
|---|---|---|
| KHAN, NIDA JAVED | Vice President | 10900 SEMINOLE BOULEVARD, LARGO, FL 33778 |
| Name | Role | Address |
|---|---|---|
| RAZA, ALI, M.D. | Manager | 20110 GULF BOULEVARD, #400, INDIAN SHORES, FL 33785 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-06-11 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State
