OPEN MRI & DIAGNOSTIC IMAGING, INC.
Radiology at 2 Ave, Miami, FL

License number
Florida HCCR1337
Category
Ambulatory Health
Type
Radiology
Owner
Name: LORENZO S BONGOLAN M.D.
Title: PRESIDENT
Phone: (305) 354-7008
Address
Address
16401 NW 2Nd Ave SUITE 103, Miami, FL 33169
National Provider ID: 1538263033
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about OPEN MRI & DIAGNOSTIC IMAGING, INC. at bizstanding.com

OPEN MRI & DIAGNOSTIC IMAGING, INC

16401 NW 2 Ave SUITE 103, Miami, FL 33169

Status:
Inactive
Inactive reason:
VOLUNTARY DISSOLUTION
Registration:
May 20, 1998
Inactive since:
Sep 10, 2007
State ID:
P98000045632
Business type:
Florida Profit Corporation
President, Director:
Lorenzo Bongolan President, Director, inactive, 16401 NW 2 Ave SUITE 103, Miami, FL 33169 (Physical)
Agent:
Bongolan, Lorenzo,16401 NW 2 Ave SUITE 103, Miami, FL 33169 (Physical)
EIN:
650837115

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