| Entity Name: | JACKSON DIAGNOSTIC IMAGING, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 19 Mar 2009 (16 years ago) |
| Date of dissolution: | 28 Sep 2012 (12 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2012 (12 years ago) |
| Document Number: | P09000025198 |
| FEI/EIN Number | 264487862 |
| Address: | 762 N SCENIC HWY 17, UNIT 3, BABSON PARK, FL, 33827, US |
| Mail Address: | 762 N SCENIC HWY 17, UNIT 3, BABSON PARK, FL, 33827, US |
| ZIP code: | 33827 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750513016 | 2009-08-19 | 2010-11-05 | 65 3RD ST NW, SUITE 200, WINTER HAVEN, FL, 338814670, US | 65 3RD ST NW, SUITE 200, WINTER HAVEN, FL, 338814670, US | |||||||||||||||
|
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| Phone | +1 863-299-2424 |
| Fax | 8632994848 |
Authorized person
| Name | MS. SARELYN BERTINA JACKSON |
| Role | PRESIDENT/CEO |
| Phone | 8632992424 |
Taxonomy
| Taxonomy Code | 261QR0208X - Mobile Radiology Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JACKSON SARELYN | Agent | 1902 ELOISE LOOP RD, WINTER HAVEN, FL, 33884 |
| Name | Role | Address |
|---|---|---|
| JACKSON SARELYN | President | 1902 ELOISE LOOP ROAD, WINTER HAVEN, FL, 33884 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2010-05-01 | 1902 ELOISE LOOP RD, WINTER HAVEN, FL 33884 | No data |
| AMENDMENT AND NAME CHANGE | 2009-04-17 | JACKSON DIAGNOSTIC IMAGING, INC. | No data |
| Name | Date |
|---|---|
| DEBIT MEMO# 05337-2 | 2012-08-01 |
| ANNUAL REPORT | 2012-04-30 |
| ANNUAL REPORT | 2011-04-29 |
| ANNUAL REPORT | 2010-05-01 |
| Amendment and Name Change | 2009-04-17 |
| Domestic Profit | 2009-03-19 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
