| Entity Name: | STAT MOBILE DIAGNOSTICS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 04 Feb 1997 (28 years ago) |
| Date of dissolution: | 23 Sep 2011 (13 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2011 (13 years ago) |
| Document Number: | P97000011220 |
| FEI/EIN Number | 65-0734621 |
| Address: | 18350 NW 2 AVE, SUITE 400, MIAMI, FL 33169 |
| Mail Address: | 18350 NW 2 AVE, SUITE 400, MIAMI, FL 33169 |
| ZIP code: | 33169 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326225236 | 2008-01-23 | 2008-01-23 | 2221 NE 164TH ST, #290, NORTH MIAMI BEACH, FL, 331603703, US | 18350 NW 2ND AVE, SUITE 400, MIAMI, FL, 331694519, US | |||||||||||||||||||||||
|
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| Phone | +1 305-621-7772 |
Authorized person
| Name | MR. JORGE LOZANO |
| Role | PRESIDENT |
| Phone | 3056217772 |
Taxonomy
| Taxonomy Code | 261QR0208X - Mobile Radiology Clinic/Center |
| License Number | 5747 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE PTAN |
| Number | E2241 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LOZANO, JORGE | Agent | 18350 NW 2 AVE, SUITE 400, MIAMI, FL 33169 |
| Name | Role | Address |
|---|---|---|
| LOZANO, JORGE | President | 18350 NW 2 AVE #400, MIAMI, FL 33169 |
| Name | Role | Address |
|---|---|---|
| LOZANO, JORGE | Treasurer | 18350 NW 2 AVE #400, MIAMI, FL 33169 |
| Name | Role | Address |
|---|---|---|
| ECHEVARRIA, SARAH | Vice President | 18350 NW 2 AVE #400, MIAMI, FL 33169 |
| Name | Role | Address |
|---|---|---|
| ECHEVARRIA, SARAH | Secretary | 18350 NW 2 AVE #400, MIAMI, FL 33169 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2007-03-20 | 18350 NW 2 AVE, SUITE 400, MIAMI, FL 33169 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2007-03-20 | 18350 NW 2 AVE, SUITE 400, MIAMI, FL 33169 | No data |
| CHANGE OF MAILING ADDRESS | 2007-03-20 | 18350 NW 2 AVE, SUITE 400, MIAMI, FL 33169 | No data |
| REGISTERED AGENT NAME CHANGED | 2003-11-03 | LOZANO, JORGE | No data |
| AMENDMENT | 2003-11-03 | No data | No data |
| CANCEL ADM DISS/REV | 2003-10-14 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2003-09-19 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2010-04-13 |
| ANNUAL REPORT | 2009-04-01 |
| ANNUAL REPORT | 2008-05-04 |
| ANNUAL REPORT | 2007-03-20 |
| ANNUAL REPORT | 2006-02-16 |
| ANNUAL REPORT | 2005-04-15 |
| ANNUAL REPORT | 2004-04-08 |
| Amendment | 2003-11-03 |
| REINSTATEMENT | 2003-10-14 |
| ANNUAL REPORT | 2002-09-10 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
