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PHYSICIAN'S DIAGNOSTIC IMAGING, P.C.

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Company Details

Name: PHYSICIAN'S DIAGNOSTIC IMAGING, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 07 Dec 1987 (38 years ago)
Entity Number: 1198168
ZIP code: 11576
County: Nassau
Place of Formation: New York
Address: 100 PORT WASHINGTON BLVD, ROSLYN, NY, United States, 11576

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
KENNETH J. GOODMAN Chief Executive Officer 100 PORT WASHINGTON BLVD, ROSLYN, NY, United States, 11576

DOS Process Agent

Name Role Address
KENNETH J. GOODMAN DOS Process Agent 100 PORT WASHINGTON BLVD, ROSLYN, NY, United States, 11576

National Provider Identifier

NPI Number:
1629090535

Authorized Person:

Name:
DR. KENNETH GOODMAN
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
2085R0202X - Diagnostic Radiology Physician
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
112886831
Plan Year:
2020
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
5
Sponsors Telephone Number:

History

Start date End date Type Value
1987-12-07 1993-02-19 Address %KENNETH J. GOODMAN, M.D, 100 PORT WASHINGTON BL, ROSLYN, NY, 11576, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
141009000301 2014-10-09 CERTIFICATE OF AMENDMENT 2014-10-09
140708002222 2014-07-08 BIENNIAL STATEMENT 2013-12-01
120504002828 2012-05-04 BIENNIAL STATEMENT 2011-12-01
100108002169 2010-01-08 BIENNIAL STATEMENT 2009-12-01
071218003299 2007-12-18 BIENNIAL STATEMENT 2007-12-01

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Date of last update: 16 Mar 2025

Sources: New York Secretary of State