| Name: | Open MRI of Florence LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 13 May 1998 (27 years ago) |
| Date of dissolution: | 06 Dec 2017 |
| Entity Number: | 000-659-807 |
| Register Number: | 000659807 |
| County: | Lauderdale |
| Place of Formation: | Lauderdale County |
| Principal Address: | FLORENCE, AL |
| Registered Office Street Address: | 138 CREEKWOOD CIRFLORENCE, AL 35630 |
| Registered Office Street Address ZIP Code: | 35630 |
Activities
OUTPATIENT IMAGING CENTER
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1669533048 | 2006-12-12 | 2011-07-26 | 3 CARRIAGE HL, NASHVILLE, TN, 372053315, US | 2701 MALL ROAD, SUITE #9, FLORENCE, AL, 35630, US | |||||||||||||||||||||||||||||
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| Phone | +1 615-557-7879 |
| Phone | +1 256-768-1005 |
| Fax | 2567680209 |
Authorized person
| Name | PHILIP M MCGUIRE |
| Role | OWNER |
| Phone | 6155577879 |
Taxonomy
| Taxonomy Code | 261QR0200X - Radiology Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 529901910 |
| State | AL |
| Issuer | BLUE CROSS BLUE SHIELD AL |
| Number | 051051734 |
| State | AL |
| Name | Role |
|---|---|
| MCGUIRE, PHILIP M | Agent |
| Name | Role |
|---|---|
| RAUSCH, ROBERT O | Member |
| MCGUIRE, PHILIP M | Member |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
