| Entity Name: | NATIONAL MEDICAL IMAGING GROUP, LLC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 28 May 2009 (16 years ago) |
| Date of dissolution: | 26 Sep 2014 (10 years ago) |
| Last Event: | REVOKED FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2014 (10 years ago) |
| Document Number: | M09000002026 |
| FEI/EIN Number | 263068184 |
| Address: | 2620 NW 15TH COURT, POMPANO BEACH, FL, 33069 |
| Mail Address: | 2620 NW 15TH COURT, POMPANO BEACH, FL, 33069 |
| ZIP code: | 33069 |
| County: | Broward |
| Place of Formation: | NEVADA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750690574 | 2010-09-28 | 2010-09-28 | 2620 NW 15TH CT, POMPANO BEACH, FL, 330691525, US | 2620 NW 15TH CT, POMPANO BEACH, FL, 330691525, US | |||||||||||||||||||||||||
|
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| Phone | +1 954-353-5651 |
| Fax | 9549774144 |
Authorized person
| Name | MR. KENNETH EDWARD WHALEN |
| Role | PRACTICE CONSULTANT |
| Phone | 9545574377 |
Taxonomy
| Taxonomy Code | 261QM1200X - Magnetic Resonance Imaging (MRI) Clinic/Center |
| License Number | 261QM1200X |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | FLOIRDA AGENCY FOR HEALTHCARE CLINIC REGISTRATION |
| Number | 8864 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MITHAVAYANI A. | Agent | 2620 NW 15TH COURT, POMPANO BEACH, FL, 33069 |
| Name | Role |
|---|---|
| MEDSERV, INC. | Manager |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G10000087304 | NATIONAL IMAGING | EXPIRED | 2010-09-23 | 2015-12-31 | No data | 2620 NW 15TH COURT, POMPANO BEACH, FL, 33069, US |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REVOKED FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| REINSTATEMENT | 2013-10-09 | No data | No data |
| REVOKED FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2013-10-09 |
| ANNUAL REPORT | 2012-01-11 |
| ANNUAL REPORT | 2011-03-03 |
| ANNUAL REPORT | 2010-03-18 |
| Foreign Limited | 2009-05-28 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
