| Entity Name: | CRESTVIEW OPEN MRI, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 15 Jan 2003 (22 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 03 Dec 2007 (17 years ago) |
| Document Number: | P03000005703 |
| FEI/EIN Number | 510443084 |
| Address: | 194 EAST REDSTONE AVENUE, SUITE A, CRESTVIEW, FL, 32539, US |
| Mail Address: | PO Box 519, CRESTVIEW, FL, 32536, US |
| ZIP code: | 32539 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578863726 | 2010-10-21 | 2015-11-17 | PO BOX 23697, JACKSON, MS, 392253697, US | 194 E REDSTONE AVE, SUITE A, CRESTVIEW, FL, 325395348, US | |||||||||||||||
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| Phone | +1 850-689-6705 |
| Fax | 8506896709 |
Authorized person
| Name | JOHN TOMBERLIN |
| Role | MEDICAL DIRECTOR |
| Phone | 3346847156 |
Taxonomy
| Taxonomy Code | 2085R0202X - Diagnostic Radiology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CADENHEAD SUE | Agent | 2730 Paddock Cir, Crestview, FL, 32536 |
| Name | Role | Address |
|---|---|---|
| CADENHEAD SUE | Director | 2730 Paddock Cir, Crestview, FL, 32536 |
| Name | Role | Address |
|---|---|---|
| CADENHEAD SUE | President | 2730 Paddock Cir, Crestview, FL, 32536 |
| Name | Role | Address |
|---|---|---|
| CADENHEAD RHETT E | Vice President | 2730 Paddock Cir, Crestview, FL, 32536 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-04-23 | 194 EAST REDSTONE AVENUE, SUITE A, CRESTVIEW, FL 32539 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-23 | 2730 Paddock Cir, Crestview, FL 32536 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-04-06 | 194 EAST REDSTONE AVENUE, SUITE A, CRESTVIEW, FL 32539 | No data |
| AMENDMENT | 2007-12-03 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2007-04-16 | CADENHEAD, SUE | No data |
| CANCEL ADM DISS/REV | 2006-10-24 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2006-09-15 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J09002132453 | LAPSED | 2007-CA-4585 | FIRST JUDICIAL CIRCUIT COURT | 2009-08-03 | 2014-09-08 | $114,581.18 | LARRY Y. ANCHORS, 970 GULF SHORE DRIVE, DESTIN, FLORIDA 32541 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-23 |
| ANNUAL REPORT | 2023-04-27 |
| ANNUAL REPORT | 2022-04-20 |
| ANNUAL REPORT | 2021-04-20 |
| ANNUAL REPORT | 2020-06-29 |
| ANNUAL REPORT | 2019-04-24 |
| ANNUAL REPORT | 2018-04-23 |
| ANNUAL REPORT | 2017-04-26 |
| ANNUAL REPORT | 2016-03-04 |
| ANNUAL REPORT | 2015-04-28 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
