| Entity Name: | NATIONAL IMAGING & URGENT CARE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 23 Jul 2009 (16 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | P09000062701 |
| FEI/EIN Number | 27-0611680 |
| Address: | 3601 west commercial blvd, STE 20, FORT LAUDERDALE, FL, 33309-3334, US |
| Mail Address: | 3601 west commercial blvd, STE 20, FORT LAUDERDALE, FL, 33309-3334, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1003182056 | 2012-03-23 | 2015-04-21 | 3601 W COMMERCIAL BLVD, SUITE 20, FORT LAUDERDALE, FL, 333093300, US | 3601 W COMMERCIAL BLVD, SUITE 20, FORT LAUDERDALE, FL, 333093300, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 954-915-3028 |
| Fax | 9547146078 |
Authorized person
| Name | PETE TYNDALE |
| Role | PRESIDENT |
| Phone | 9549153028 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME84420 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 208100000X - Physical Medicine & Rehabilitation Physician |
| License Number | PT27280 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 261QM1200X - Magnetic Resonance Imaging (MRI) Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QU0200X - Urgent Care Clinic/Center |
| License Number | ME84420 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| License Number | ARNP2810312 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAL LICENSE |
| Number | ME037878 |
| State | FL |
| Issuer | MEDICAL LICENSE |
| Number | PT27280 |
| State | FL |
| Issuer | MEDICAL LICENSE |
| Number | ARNP2810312 |
| State | FL |
| Issuer | MEDICAL LICENSE |
| Number | ME84420 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Goldrich Donald S | Agent | 5177 N W 74th Manor, Coconut Creek, FL, 33073 |
| Name | Role | Address |
|---|---|---|
| POLYCARPE-BONHOMME MARTINE | Director | 3601 NW 50TH STE 20, FORT LAUDERDALE, FL, 333093334 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G13000083277 | FAYE IMAGING | EXPIRED | 2013-08-21 | 2018-12-31 | No data | 3601 NW 50TH ST STE 20, FT LAUDERDALE, FL, 33309 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| AMENDMENT | 2015-12-07 | No data | No data |
| NAME CHANGE AMENDMENT | 2015-01-26 | NATIONAL IMAGING & URGENT CARE, INC. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-01-19 | 5177 N W 74th Manor, Coconut Creek, FL 33073 | No data |
| REGISTERED AGENT NAME CHANGED | 2015-01-19 | Goldrich, Donald S | No data |
| AMENDMENT | 2014-11-14 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-04-30 | 3601 west commercial blvd, STE 20, FORT LAUDERDALE, FL 33309-3334 | No data |
| CHANGE OF MAILING ADDRESS | 2014-04-30 | 3601 west commercial blvd, STE 20, FORT LAUDERDALE, FL 33309-3334 | No data |
| AMENDMENT | 2012-10-01 | No data | No data |
| AMENDMENT | 2012-05-07 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J17000665242 | LAPSED | 214-023012 CA-01 | MIAMI-DADE | 2017-12-07 | 2022-12-12 | $56,500.66 | BANKUNITED N.A., 7765 NW 148 STREET, 2-WAR, MIAMI LAKES, FLORIDA 33016 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-04-17 |
| Amendment | 2015-12-07 |
| Name Change | 2015-01-26 |
| ANNUAL REPORT | 2015-01-19 |
| Amendment | 2014-11-14 |
| ANNUAL REPORT | 2014-04-30 |
| ANNUAL REPORT | 2013-04-30 |
| Amendment | 2012-10-01 |
| Amendment | 2012-05-07 |
| ANNUAL REPORT | 2012-04-20 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
