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DAVIS DIAGNOSTICS, LLC - Florida Company Profile

Company Details

Entity Name: DAVIS DIAGNOSTICS, LLC
Jurisdiction: FLORIDA
Filing Type: Foreign Limited Liability Co.
Status: Inactive

The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders.

Date Filed: 20 Aug 2002 (23 years ago)
Date of dissolution: 30 Dec 2008 (16 years ago)
Last Event: LC WITHDRAWAL
Event Date Filed: 30 Dec 2008 (16 years ago)
Document Number: M02000002194
FEI/EIN Number 510420419

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 1358 FRUITVILLE RD, STE 209, SARASOTA, FL, 34236
Mail Address: 1358 FRUITVILLE RD, STE 209, SARASOTA, FL, 34236
ZIP code: 34236
County: Sarasota
Place of Formation: DELAWARE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1992708580 2005-05-27 2020-08-22 240 N WASHINGTON BLVD, SARASOTA, FL, 342365945, US 290 CLYDE MORRIS BLVD, STE C1, ORMOND BEACH, FL, 321748204, US

Contacts

Phone +1 941-925-3490
Fax 9419534452
Phone +1 386-677-8680
Fax 3866776895

Authorized person

Name DR. JEFF DAVIS
Role OWNER
Phone 3866778680

Taxonomy

Taxonomy Code 261QM1200X - Magnetic Resonance Imaging (MRI) Clinic/Center
License Number HCC1817-EXEMPT
State FL
Is Primary Yes

Other Provider Identifiers

Issuer BCBS PROV #
Number V2694
State FL

Key Officers & Management

Name Role Address
KERN MARTIN J Manager 1358 FRUITVILLE RD, STE 209, SARASOTA, FL, 34236

Events

Event Type Filed Date Value Description
LC WITHDRAWAL 2008-12-30 - -
CHANGE OF PRINCIPAL ADDRESS 2008-05-01 1358 FRUITVILLE RD, STE 209, SARASOTA, FL 34236 -
CHANGE OF MAILING ADDRESS 2008-05-01 1358 FRUITVILLE RD, STE 209, SARASOTA, FL 34236 -

Documents

Name Date
LC Withdrawal 2008-12-30
ANNUAL REPORT 2008-05-01
ANNUAL REPORT 2008-04-30
ANNUAL REPORT 2007-04-16
ANNUAL REPORT 2006-04-28
ANNUAL REPORT 2005-07-01
ANNUAL REPORT 2004-09-30
ANNUAL REPORT 2003-08-14
Foreign Limited 2002-08-20

Date of last update: 02 Apr 2025

Sources: Florida Department of State