| Entity Name: | NON-INVASIVE DIAGNOSTIC IMAGING SERVICE, CORP. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 01 Dec 1994 (30 years ago) |
| Document Number: | P94000087354 |
| FEI/EIN Number | 65-0541033 |
| Address: | 6860 WEST 30 AVE, HIALEAH, FL 33018-5246 |
| Mail Address: | 6860 WEST 30 AVE, HIALEAH, FL 33018-5246 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1598806846 | 2007-02-09 | 2008-07-08 | 13055 SW 42ND ST, SUITE 206, MIAMI, FL, 331753406, US | 13055 SW 42ND ST, SUITE 206, MIAMI, FL, 331753406, US | |||||||||||||||||||||
|
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| Phone | +1 305-412-0038 |
| Fax | 3054120038 |
Authorized person
| Name | JORGE PEREZ |
| Role | PRESIDENT |
| Phone | 3055591190 |
Taxonomy
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 376989500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PEREZ, JORGE L | Agent | 6860 WEST 30 AVE, HIALEAH, FL 33018-5246 |
| Name | Role | Address |
|---|---|---|
| PEREZ, JORGE L | President | 6860 WEST 30 AVE, HIALEAH, FL 33018-5246 |
| Name | Role | Address |
|---|---|---|
| PEREZ, JORGE L | Director | 6860 WEST 30 AVE, HIALEAH, FL 33018-5246 |
| PEREZ, JORGE A | Director | 6860 WEST 30 AVE, HIALEAH, FL 33018-5246 |
| Name | Role | Address |
|---|---|---|
| PEREZ, JORGE A | Vice President | 6860 WEST 30 AVE, HIALEAH, FL 33018-5246 |
| Name | Role | Address |
|---|---|---|
| PEREZ, JORGE A | Treasurer | 6860 WEST 30 AVE, HIALEAH, FL 33018-5246 |
| Name | Role | Address |
|---|---|---|
| PEREZ, JORGE A | Secretary | 6860 WEST 30 AVE, HIALEAH, FL 33018-5246 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-04-29 | 6860 WEST 30 AVE, HIALEAH, FL 33018-5246 | No data |
| CHANGE OF MAILING ADDRESS | 2022-04-29 | 6860 WEST 30 AVE, HIALEAH, FL 33018-5246 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-29 | 6860 WEST 30 AVE, HIALEAH, FL 33018-5246 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-01 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-04-20 |
| ANNUAL REPORT | 2020-06-27 |
| ANNUAL REPORT | 2019-04-22 |
| ANNUAL REPORT | 2018-04-28 |
| ANNUAL REPORT | 2017-04-27 |
| ANNUAL REPORT | 2016-04-20 |
| ANNUAL REPORT | 2015-04-25 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
