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Premier Imaging Center, LLC

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Company Details

Name: Premier Imaging Center, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Dissolved
Effective Date: 04 Aug 2006 (19 years ago)
Business ID: 896726
State of Incorporation: MISSISSIPPI

Agent

Name Role Address
Waycaster, Tim Agent 112 Main Street, Natchez, MS 39120

Member

Name Role Address
Blane A. Mire Member 46 Seargent S. Prentiss Drive, Suite 100, Natchez, MS 39120

National Provider Identifier

NPI Number:
1376601104

Authorized Person:

Name:
MRS. SELINDA L HARP
Role:
OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
261QR0206X - Mammography Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
6014425778

Filings

Type Status Filed Date Description
Failure to File AR Filed 2011-12-05 Failure to File AR
Formation Form Filed 2006-08-04 Formation

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Date of last update: 25 Jun 2025

Sources: Company Profile on Mississippi Secretary of State Website