| Entity Name: | FLORIDA DIAGNOSTIC IMAGING CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 08 Jan 1999 (26 years ago) |
| Last Event: | CANCEL ADM DISS/REV |
| Event Date Filed: | 14 Jan 2010 (15 years ago) |
| Document Number: | P99000003088 |
| FEI/EIN Number | 593551727 |
| Address: | 4511 N Davis Hwy, Pensacola, FL, 32503, US |
| Mail Address: | 2525 Park City Way, Tampa, FL, 33609, US |
| ZIP code: | 32503 |
| County: | Escambia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578210886 | 2022-03-07 | 2022-03-07 | 3024 BUSINESS PARK CIR, GOODLETTSVILLE, TN, 370723132, US | 2525 MARTIN LUTHER KING JR BLVD, PANAMA CITY, FL, 324054414, US | |||||||||||||||
|
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| Phone | +1 615-854-3409 |
| Phone | +1 850-873-6900 |
Authorized person
| Name | SUSAN FENTON |
| Role | CREDENTIALING DIRECTOR |
| Phone | 6158543409 |
Taxonomy
| Taxonomy Code | 261QR0208X - Mobile Radiology Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Desai Chintan CEO | Agent | 2525 Park City Way, Tampa, FL, 33609 |
| Name | Role | Address |
|---|---|---|
| Desai Chintan Dr. | President | 2525 Park City Way, Tampa, FL, 33609 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000084391 | CAREFIRST IMAGING | ACTIVE | 2024-07-15 | 2029-12-31 | No data | 2525 PARK CITY WAY, TAMPA, FL, 33609 |
| G21000143165 | PANAMA CITY OPEN MRI & IMAGING | ACTIVE | 2021-10-25 | 2026-12-31 | No data | 1642 WESTGATE CIRCLE, SUITE 201, BRENTWOOD, TN, 37027 |
| G20000145701 | PANAMA CITY OPEN MRI & IMAGING | ACTIVE | 2020-11-12 | 2025-12-31 | No data | 2525 MARTIN LUTHER KIND JR. BLVD., PANAMA CITY, FL, 32405 |
| G20000140147 | PENSACOLA OPEN MRI & IMAGING | ACTIVE | 2020-10-29 | 2025-12-31 | No data | 4511 NORTH DAVIS HIGHWAY, SUITE 1B, PENSACOLA, FL, 32503 |
| G12000082075 | PENSACOLA OPEN MRI | EXPIRED | 2012-08-21 | 2017-12-31 | No data | 4511 N. DAVIS HWY., SUITE 1-B, PENSACOLA, FL, 32503 |
| G12000082074 | PENSACOLA OPEN MRI & IMAGING | EXPIRED | 2012-08-21 | 2017-12-31 | No data | 4511 N. DAVIS HWY., SUITE 1-B, PENSACOLA, FL, 32503 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-05-21 | 4511 N Davis Hwy, Pensacola, FL 32503 | No data |
| CHANGE OF MAILING ADDRESS | 2024-05-21 | 4511 N Davis Hwy, Pensacola, FL 32503 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-05-21 | Desai, Chintan, CEO | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-05-21 | 2525 Park City Way, Tampa, FL 33609 | No data |
| CANCEL ADM DISS/REV | 2010-01-14 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| NAME CHANGE AMENDMENT | 1999-06-03 | FLORIDA DIAGNOSTIC IMAGING CENTER, INC. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-21 |
| ANNUAL REPORT | 2023-02-26 |
| ANNUAL REPORT | 2022-04-23 |
| ANNUAL REPORT | 2021-03-31 |
| ANNUAL REPORT | 2020-02-18 |
| ANNUAL REPORT | 2019-01-24 |
| ANNUAL REPORT | 2018-03-28 |
| ANNUAL REPORT | 2017-03-03 |
| ANNUAL REPORT | 2016-03-07 |
| ANNUAL REPORT | 2015-03-16 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
