| Entity Name: | SOUTHERN OPEN MRI, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
SOUTHERN OPEN MRI, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 04 Sep 1998 (27 years ago) |
| Date of dissolution: | 24 Sep 2010 (15 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2010 (15 years ago) |
| Document Number: | P98000076684 |
| FEI/EIN Number |
593529628
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 289 SW STONEGATE TERRACE, SUITE # 102, LAKE CITY, FL, 32024, US |
| Mail Address: | 289 SW STONEGATE TERRACE, SUITE # 102, LAKE CITY, FL, 32024, US |
| ZIP code: | 32024 |
| County: | Columbia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194795658 | 2006-01-25 | 2008-02-19 | 289 SW STONEGATE TER, SUITE 102, LAKE CITY, FL, 320243456, US | 289 SW STONEGATE TER, SUITE 102, LAKE CITY, FL, 320243456, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 386-755-4788 |
| Fax | 3867559980 |
Authorized person
| Name | MRS. LUCIA M DELAUZ-SAMI |
| Role | VP/CEO/MANAGER |
| Phone | 3867554788 |
Taxonomy
| Taxonomy Code | 2471C3401X - Computed Tomography Radiologic Technologist |
| Is Primary | No |
| Taxonomy Code | 2471M1202X - Magnetic Resonance Imaging Radiologic Technologist |
| Is Primary | Yes |
| Taxonomy Code | 2471S1302X - Sonography Radiologic Technologist |
| Is Primary | No |
Other Provider Identifiers
| Issuer | AETNA PROVIDER NUMBER |
| Number | 5259706 |
| State | FL |
| Issuer | VISTA HEALTH PLAN |
| Number | B796 |
| State | FL |
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | V2546 |
| State | FL |
| Issuer | FIRST HEALTH PROVIDER NUM |
| Number | 1736853 |
| State | FL |
| Issuer | AVMED PROVIDER NUMBER |
| Number | 271288 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CALABRESE EUGENE | President | 540 DOUGLAS AVE., ALTAMONTE SPRINGS, FL, 32714 |
| DELAUZ-SAMI LUCIA | Vice President | 207 NW LAKE VALLEY TER, LAKE CITY, FL, 32055 |
| DELAUZ-SAMI LUCIA | Treasurer | 207 NW LAKE VALLEY TER, LAKE CITY, FL, 32055 |
| DELAUZ-SAMI LUCIA | Secretary | 207 NW LAKE VALLEY TER, LAKE CITY, FL, 32055 |
| DELAUZ-SAMI LUCIA | Director | 207 NW LAKE VALLEY TER, LAKE CITY, FL, 32055 |
| DELAUZ-SAMI LUCIA | Commissioner | 207 NW LAKE VALLEY TER, LAKE CITY, FL, 32055 |
| DELAUZ-SAMI LUCIA | Agent | 207 NW LAKE VALLEY TER, LAKE CITY, FL, 32055 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | - | - |
| AMENDMENT | 2009-11-02 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2008-01-07 | 289 SW STONEGATE TERRACE, SUITE # 102, LAKE CITY, FL 32024 | - |
| CHANGE OF MAILING ADDRESS | 2008-01-07 | 289 SW STONEGATE TERRACE, SUITE # 102, LAKE CITY, FL 32024 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2005-01-31 | 207 NW LAKE VALLEY TER, LAKE CITY, FL 32055 | - |
| REGISTERED AGENT NAME CHANGED | 2004-01-09 | DELAUZ-SAMI, LUCIA | - |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J11000437710 | LAPSED | 1000000221789 | COLUMBIA | 2011-06-24 | 2021-07-20 | $ 670.80 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MAITLAND SERVICE CENTER, 2301 MAITLAND CENTER PKWY STE 160, MAITLAND FL327514192 |
| Name | Date |
|---|---|
| Amendment | 2009-11-02 |
| ANNUAL REPORT | 2009-04-01 |
| ANNUAL REPORT | 2008-01-07 |
| ANNUAL REPORT | 2007-01-03 |
| ANNUAL REPORT | 2006-01-05 |
| ANNUAL REPORT | 2005-01-31 |
| ANNUAL REPORT | 2004-01-09 |
| ANNUAL REPORT | 2003-01-14 |
| ANNUAL REPORT | 2002-02-21 |
| ANNUAL REPORT | 2001-02-03 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
