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PROMEDICA IMAGING, P.C.

Company Details

Name: PROMEDICA IMAGING, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 29 Dec 1986 (38 years ago)
Entity Number: 1133794
ZIP code: 11020
County: Nassau
Place of Formation: New York
Principal Address: 2001 MARCUS AVENUE, LAKE SUCCESS, NY, United States, 11042
Address: 2001 MARCUS AVENUE, LAKE SUCCESS, NY, United States, 11020

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 2001 MARCUS AVENUE, LAKE SUCCESS, NY, United States, 11020

Chief Executive Officer

Name Role Address
GAIL PHILLIPS, M.D. Chief Executive Officer 2001 MARCUS AVENUE, LAKE SUCCESS, NY, United States, 11042

National Provider Identifier

NPI Number:
1285764076

Authorized Person:

Name:
DR. GAIL PHILLIPS
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
2085R0202X - Diagnostic Radiology Physician
Is Primary:
Yes
Selected Taxonomy:
2085R0204X - Vascular & Interventional Radiology Physician
Is Primary:
No
Selected Taxonomy:
2085U0001X - Diagnostic Ultrasound Physician
Is Primary:
No

Contacts:

Fax:
5164371093

Form 5500 Series

Employer Identification Number (EIN):
112850144
Plan Year:
2014
Number Of Participants:
22
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
22
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
22
Sponsors Telephone Number:
Plan Year:
2012
Number Of Participants:
23
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
27
Sponsors Telephone Number:

History

Start date End date Type Value
1986-12-29 1993-12-10 Address 2001 MARCUS AVE, LAKE SUCCESS, NY, 11020, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
141201006263 2014-12-01 BIENNIAL STATEMENT 2014-12-01
121211006258 2012-12-11 BIENNIAL STATEMENT 2012-12-01
101220002478 2010-12-20 BIENNIAL STATEMENT 2010-12-01
081201002975 2008-12-01 BIENNIAL STATEMENT 2008-12-01
061204002099 2006-12-04 BIENNIAL STATEMENT 2006-12-01

Date of last update: 16 Mar 2025

Sources: New York Secretary of State