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Flowood Mississippi Imaging, LLC

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Company Details

Name: Flowood Mississippi Imaging, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 13 Jul 2018 (7 years ago)
Business ID: 1151766
State of Incorporation: DELAWARE
Principal Office Address: 4000 Meridian Blvd.Franklin, TN 37067
Fictitious names: Mississippi Diagnostic Imaging Center

Agent

Name Role Address
CORPORATION SERVICE COMPANY Agent 109 Executive Drive, Suite 3, Madison, MS 39110

Manager

Name Role Address
Kevin J. Hammons Manager 4000 Meridian Blvd., Franklin, TN 37067
Justin D. Pitt Manager 4000 Meridian Blvd, Franklin, TN 37067
W. Bradley Cash Manager 4000 Meridian Blvd, Franklin, TN 37067

National Provider Identifier

NPI Number:
1861954083
Certification Date:
2022-07-28

Authorized Person:

Name:
JENNIFER L JACKSON
Role:
SENIOR DIRECTOR PROVIDER ENROLLMENT
Phone:

Taxonomy:

Selected Taxonomy:
261QM1200X - Magnetic Resonance Imaging (MRI) Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QR0200X - Radiology Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
6156286877
Fax:
6019323758

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-04-04 Annual Report For Flowood Mississippi Imaging, LLC
Annual Report LLC Filed 2024-04-14 Annual Report For Flowood Mississippi Imaging, LLC
Annual Report LLC Filed 2023-04-04 Annual Report For Flowood Mississippi Imaging, LLC
Fictitious Name Registration Filed 2022-10-21 Fictitious Name Registration For Flowood Mississippi Imaging, LLC
Amendment Form Filed 2022-06-02 Amendment For Flowood Mississippi Imaging, LLC
Annual Report LLC Filed 2022-04-15 Annual Report For Flowood Mississippi Imaging, LLC
Annual Report LLC Filed 2021-04-09 Annual Report For Flowood Mississippi Imaging, LLC
Annual Report LLC Filed 2020-02-11 Annual Report For Flowood Mississippi Imaging, LLC
Annual Report LLC Filed 2019-04-15 Annual Report For Flowood Mississippi Imaging, LLC
Formation Form Filed 2018-07-13 Formation For Flowood Mississippi Imaging, LLC

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Date of last update: 20 May 2025

Sources: Company Profile on Mississippi Secretary of State Website