Entity Name: | OPEN MRI OF TALLAHASSEE, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Foreign Limited Liability Co. |
Status: | Inactive |
Date Filed: | 17 Apr 2006 (19 years ago) |
Date of dissolution: | 27 Sep 2013 (11 years ago) |
Last Event: | REVOKED FOR ANNUAL REPORT |
Event Date Filed: | 27 Sep 2013 (11 years ago) |
Document Number: | M06000002268 |
FEI/EIN Number | 582545055 |
Address: | 5910 KERRY FOREST PKWY, STE A1-A, TALLAHASSEE, FL, 32309 |
Mail Address: | 420 CHARTER BLVD., SUITE 402, MACON, GA, 31210 |
ZIP code: | 32309 |
County: | Leon |
Place of Formation: | GEORGIA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1053380915 | 2006-03-14 | 2007-11-28 | PO BOX 4003, MACON, GA, 31208, US | 2910 KERRY FOREST PARKWAY, SUITE A1 A, TALLAHASSEE, FL, 323086826, US | |||||||||||||||||||||||||
|
Phone | +1 478-755-9966 |
Fax | 4787559964 |
Phone | +1 850-894-9500 |
Fax | 8508949501 |
Authorized person
Name | PETER O HOLLIDAY III |
Role | DIRECTOR |
Phone | 4784742360 |
Taxonomy
Taxonomy Code | 261QM1200X - Magnetic Resonance Imaging (MRI) Clinic/Center |
Is Primary | Yes |
Other Provider Identifiers
Issuer | BCBS |
Number | V2666 |
State | FL |
Name | Role | Address |
---|---|---|
WRIGHT DONALD | Agent | 1301 RIVERPLACE BLVD., SUITE 1500, JACKSONVILLE, FL, 32207 |
Name | Role | Address |
---|---|---|
HOLLIDAY PETER O | Manager | 420 CHARTER BLVD., SUITE 402, MACON, GA, 31210 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REVOKED FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2008-04-21 | 5910 KERRY FOREST PKWY, STE A1-A, TALLAHASSEE, FL 32309 | No data |
Name | Date |
---|---|
Reg. Agent Resignation | 2016-06-29 |
ANNUAL REPORT | 2012-01-17 |
ANNUAL REPORT | 2011-01-05 |
ANNUAL REPORT | 2010-02-15 |
ANNUAL REPORT | 2009-01-07 |
ANNUAL REPORT | 2008-04-21 |
ANNUAL REPORT | 2007-01-22 |
Foreign Limited | 2006-04-17 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State