| Entity Name: | ALPHA RADIOLOGY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 13 Jan 1993 (32 years ago) |
| Date of dissolution: | 24 Jan 2022 (3 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 24 Jan 2022 (3 years ago) |
| Document Number: | P93000002854 |
| FEI/EIN Number | 59-3165910 |
| Address: | 3009 Kings Harbour Road, PANAMA CITY, FL 32405 |
| Mail Address: | 3009 Kings Harbour Road, Panama City, FL 32405 |
| ZIP code: | 32405 |
| County: | Bay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1669654927 | 2007-11-28 | 2007-11-28 | 1304 HARRISON AVE, PANAMA CITY, FL, 324012435, US | 1304 HARRISON AVE, PANAMA CITY, FL, 324012435, US | |||||||||||||||||||||||||
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| Phone | +1 850-785-3749 |
| Fax | 8507850409 |
Authorized person
| Name | DR. IBRAHIM A ELKOMY |
| Role | OWNER |
| Phone | 8507853749 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | ME0039163 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS FLORIDA |
| Number | 39834 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ELKOMY, Hanan I | Agent | 3009 Kings Harbour Road, Panama City, FL 32405 |
| Name | Role | Address |
|---|---|---|
| ELKOMY, HANAN I | Director | 3009 Kings Harbour Road, Panama City, FL 32405 |
| Name | Role | Address |
|---|---|---|
| ELKOMY, IMAN I | Secretary | 2911 Longwood circle, Panama City, FL 32405 |
| ELKOMY, JIHAN I | Secretary | 2911 Longwood circle, Panama City, FL 32405 |
| Name | Role | Address |
|---|---|---|
| Elkomy, Fawzia | Trustee | 3009 Kings Harbour Road, PANAMA CITY, FL 32405 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2022-01-24 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-03-18 | 3009 Kings Harbour Road, PANAMA CITY, FL 32405 | No data |
| CHANGE OF MAILING ADDRESS | 2021-03-18 | 3009 Kings Harbour Road, PANAMA CITY, FL 32405 | No data |
| REGISTERED AGENT NAME CHANGED | 2021-03-18 | ELKOMY, Hanan I | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-03-18 | 3009 Kings Harbour Road, Panama City, FL 32405 | No data |
| AMENDMENT AND NAME CHANGE | 2003-01-31 | ALPHA RADIOLOGY, INC. | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2022-01-24 |
| ANNUAL REPORT | 2021-03-18 |
| ANNUAL REPORT | 2020-03-21 |
| ANNUAL REPORT | 2019-04-03 |
| ANNUAL REPORT | 2018-04-08 |
| ANNUAL REPORT | 2017-03-26 |
| ANNUAL REPORT | 2016-04-05 |
| ANNUAL REPORT | 2015-04-19 |
| ANNUAL REPORT | 2014-04-08 |
| ANNUAL REPORT | 2013-03-12 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
