| Name: | Mobile Open MRI, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 30 Dec 1996 (28 years ago) |
| Entity Number: | 000-184-324 |
| Register Number: | 000184324 |
| Historical Names: |
Mobile Open MRI, Inc.
|
| County: | Mobile |
| Place of Formation: | Mobile County |
| Principal Mailing Address: | 2525 Park City WayTampa, FL 33609 |
| Registered Office Street Address: | 641 SOUTH LAWRENCE STREETMONTGOMERY, AL 36104 |
| Registered Office Street Address ZIP Code: | 36104 |
| Principal Address: | 6576 Airport BlvdMobile, AL 36608 |
| Principal Address ZIP Code: | 36608 |
Activities
DIAGNOSTIC IMAGING CENTER
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PDDTZFLYVY95 | 2021-11-18 | 6576 AIRPORT BLVD BLDG A, MOBILE, AL, 36608, 3787, USA | 3480 PRESTON RIDGE ROAD, SUITE 600, ALPHARETTA, GA, 30005, USA | |||||||||||||||||||||||||||||||||||||||
|
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| Division Name | MOBILE OPEN MRI LLC |
| Division Number | MOBILE OPE |
| Congressional District | 01 |
| State/Country of Incorporation | AL, USA |
| Activation Date | 2020-11-19 |
| Initial Registration Date | 2020-10-30 |
| Entity Start Date | 1997-04-01 |
| Fiscal Year End Close Date | Dec 31 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | SHERRI MARINI |
| Address | 6576 AIRPORT BOULEVARD, BUILDING A, MOBILE, AL, 36608, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | SHERRI MARINI |
| Address | 6576 AIRPORT BOULEVARD, BUILDING A, MOBILE, AL, 36608, USA |
| Past Performance | Information not Available |
|---|
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1548228323 | 2006-05-02 | 2021-06-14 | 1642 WESTGATE CIR STE 202, BRENTWOOD, TN, 370278195, US | 6576 AIRPORT BLVD, BLDG A, MOBILE, AL, 366086768, US | |||||||||||||||||||||||||
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| Phone | +1 615-713-7519 |
| Phone | +1 251-460-4112 |
| Fax | 2514604590 |
Authorized person
| Name | RAIF ERIM |
| Role | COO |
| Phone | 6157137519 |
Taxonomy
| Taxonomy Code | 2085R0202X - Diagnostic Radiology Physician |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 000051799 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| CORPORATION SERVICE COMPANY INC | Agent | 251 LITTLE FALLS DRIVEWILMINGTON, DE 19808 |
| Name | Role | Address |
|---|---|---|
| Chintan Desai | Member | 2525 Park City WayTampa, FL 33609 |
| Name | Role | Address |
|---|---|---|
| Chintan Desai | Organizer | 2525 Park City WayTampa, FL 33609 |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2014-01-03 | Name Change | Mobile Open MRI, Inc. | Mobile Open MRI, LLC |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
