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MOBILE QUALITY DIAGNOSTIC, CORP.

Company Details

Entity Name: MOBILE QUALITY DIAGNOSTIC, CORP.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 29 Jan 1996 (29 years ago)
Document Number: P96000009548
FEI/EIN Number 650640606
Address: 1751 W 38 PL, 1003-A, HIALEAH, FL, 33012, US
Mail Address: 1751 W 38 PL, 1003-A, HIALEAH, FL, 33012, US
ZIP code: 33012
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1861652125 2008-06-11 2016-06-06 1751 W 38TH PL, UNIT 1003-A, HIALEAH, FL, 330127021, US 1751 W 38 PL, UNIT 1003A, HIALEAH, FL, 330127021, US

Contacts

Phone +1 305-820-8720
Fax 3058208721

Authorized person

Name MR. REYNALDO ORTEGA
Role PRESIDENT
Phone 3058208720

Taxonomy

Taxonomy Code 335V00000X - Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
License Number HCC7302
State FL
Is Primary Yes

Agent

Name Role Address
ORTEGA REYNALDO Agent 3602 SW 166 AVE, MIRAMAR, FL, 33027

President

Name Role Address
ORTEGA REYNALDO President 3602 SW 166 AVE, MIRAMAR, FL, 33027

Treasurer

Name Role Address
ORTEGA REYNALDO Treasurer 3602 SW 166 AVE, MIRAMAR, FL, 33027

Director

Name Role Address
ORTEGA REYNALDO Director 3602 SW 166 AVE, MIRAMAR, FL, 33027

Events

Event Type Filed Date Value Description
AMENDMENT 2008-05-29 No data No data
AMENDMENT 2005-02-28 No data No data
NAME CHANGE AMENDMENT 1996-03-01 MOBILE QUALITY DIAGNOSTIC, CORP. No data

Date of last update: 03 Jan 2025

Sources: Florida Department of State