| Entity Name: | AMIN RADIOLOGY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 26 Mar 1992 (33 years ago) |
| Document Number: | V24003 |
| FEI/EIN Number | 593110464 |
| Address: | 922 N CITRUS AVE, CRYSTAL RIVER, FL, 34428, US |
| Mail Address: | 922 N CITRUS AVE, CRYSTAL RIVER, FL, 34428, US |
| ZIP code: | 34428 |
| County: | Citrus |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871657148 | 2006-12-21 | 2008-04-24 | 922 N CITRUS AVE, CRYSTAL RIVER, FL, 344283409, US | 11371 N WILLIAMS ST, SUITE 4, DUNNELLON, FL, 344328340, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 352-795-9200 |
| Fax | 3527956460 |
| Phone | +1 352-489-8987 |
| Fax | 3524898904 |
Authorized person
| Name | MS. CONNIE M FINCH |
| Role | ADMINISTRATOR |
| Phone | 3527959200 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | ME0055210 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 174400000X - Specialist |
| License Number | ME0070251 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 271558901 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| AMIN SAMIR K | Agent | 922 N CITRUS AVE, CRYSTAL RIVER, FL, 34428 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2019-08-28 | No data | No data |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
