| Entity Name: | WEST HERNANDO DIAGNOSTIC AND M.R. CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 17 Apr 1990 (35 years ago) |
| Document Number: | L66765 |
| FEI/EIN Number | 593037178 |
| Address: | 3315 COMMERCIAL WAY, SPRING HILL, FL, 34606, US |
| Mail Address: | 14690 Spring Hill Drive, Spring Hill, FL, 34609, US |
| ZIP code: | 34606 |
| County: | Hernando |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831183607 | 2005-09-07 | 2021-07-23 | 3315 COMMERCIAL WAY, SPRING HILL, FL, 346062699, US | 3315 COMMERCIAL WAY, SPRING HILL, FL, 346062699, US | |||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||
| Phone | +1 352-688-5860 |
| Fax | 3526884347 |
Authorized person
| Name | MS. KAREN HAYES JR. |
| Role | CFO |
| Phone | 3527990046 |
Taxonomy
| Taxonomy Code | 2085R0202X - Diagnostic Radiology Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 272166000 |
| State | FL |
| Issuer | RAILROAD MEDICARE |
| Number | CC0618 |
| State | FL |
| Name | Role |
|---|---|
| ACCESS MANAGEMENT CO., LLC | Agent |
| Name | Role | Address |
|---|---|---|
| Singh Pariksith | President | 14690 Spring Hill Drive, Spring Hill, FL, 34609 |
| Name | Role | Address |
|---|---|---|
| Vieira Karen | Secretary | 14690 Spring Hill Drive, Spring Hill, FL, 34609 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000055873 | WEST HERNANDO WOMEN'S IMAGING CENTER | ACTIVE | 2021-04-23 | 2026-12-31 | No data | 3389 MARINER BLVD, SPRING HILL, FL, 34609 |
| G16000118446 | CITRUS OPEN MRI CENTER | EXPIRED | 2016-11-01 | 2021-12-31 | No data | 2687 E GULF TO LAKE HWY, INVERNESS, FL, 34453 |
| G16000093711 | SUNCOAST IMAGING CENTER | EXPIRED | 2016-08-29 | 2021-12-31 | No data | 8462 NORTHCLIFFE BLVD, SPRING HILL, FL, 34606 |
| G16000087266 | PASCO IMAGING & OPEN MRI CENTER | ACTIVE | 2016-08-16 | 2026-12-31 | No data | 7615 JACQUE ROAD, HUDSON, FL, 34667 |
| G10000013277 | WEST HERNANDO DIAGNOSTIC-SEVEN HILLS | EXPIRED | 2010-02-10 | 2015-12-31 | No data | 491 MARINER BLVD, SPRING HILL, FL, 34609 |
| G09000135658 | WEST HERNANDO WOMEN'S IMAGING CENTER | EXPIRED | 2009-07-16 | 2014-12-31 | No data | 3315 COMMERCIAL WAY, SPRING HILL, FL, 34606 |
| G08338900118 | WEST HERNANDO DIAGNOSTIC CENTER-BROOKSVILLE | EXPIRED | 2008-12-03 | 2013-12-31 | No data | 3315 COMMERCIAL WAY, SPRING HILL, FL, 34606 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
