| Entity Name: | XL DIAGNOSTIC CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 13 May 2003 (22 years ago) |
| Date of dissolution: | 18 Feb 2010 (15 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 18 Feb 2010 (15 years ago) |
| Document Number: | P03000052549 |
| FEI/EIN Number | 020691339 |
| Address: | 13205 SW 137 AVENUE, 128, MIAMI, FL, 33186 |
| Mail Address: | 13205 SW 137 AVENUE, 128, MIAMI, FL, 33186 |
| ZIP code: | 33186 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1801920954 | 2007-03-14 | 2020-08-22 | 13205 SW 137TH AVE, SUITE 128, MIAMI, FL, 331865331, US | 13205 SW 137TH AVE, SUITE 128, MIAMI, FL, 331865331, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 305-969-9676 |
| Fax | 3059699656 |
Authorized person
| Name | MR. JORGE SANTOS |
| Role | PRESIDENT |
| Phone | 3059699676 |
Taxonomy
| Taxonomy Code | 293D00000X - Physiological Laboratory |
| License Number | HCC 3991 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 335V00000X - Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| License Number | HCC3991 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | AHCA LICENSE |
| Number | HCC3991 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SANTOS JORGE L | Agent | 6760 SW 28 TERR, MIAMI, FL, 33155 |
| Name | Role | Address |
|---|---|---|
| SANTOS JORGE L | President | 6760 SW 28 TERR, MIAMI, FL, 33155 |
| Name | Role | Address |
|---|---|---|
| SANTOS JORGE L | Director | 6760 SW 28 TERR, MIAMI, FL, 33155 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2010-02-18 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2007-06-22 | 6760 SW 28 TERR, MIAMI, FL 33155 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2007-06-22 | 13205 SW 137 AVENUE, 128, MIAMI, FL 33186 | No data |
| REGISTERED AGENT NAME CHANGED | 2006-12-08 | SANTOS, JORGE L | No data |
| AMENDMENT | 2006-12-08 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2006-04-27 | 13205 SW 137 AVENUE, 128, MIAMI, FL 33186 | No data |
| AMENDMENT | 2005-10-06 | No data | No data |
| AMENDMENT | 2005-05-09 | No data | No data |
| Name | Date |
|---|---|
| Voluntary Dissolution | 2010-02-18 |
| ANNUAL REPORT | 2009-04-23 |
| ANNUAL REPORT | 2008-05-01 |
| ANNUAL REPORT | 2007-06-22 |
| Amendment | 2006-12-08 |
| ANNUAL REPORT | 2006-04-27 |
| Amendment | 2005-10-06 |
| Amendment | 2005-05-09 |
| ANNUAL REPORT | 2005-03-16 |
| ANNUAL REPORT | 2004-04-12 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
