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UCVA MEDICAL LLC

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Company Details

Name: UCVA MEDICAL LLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Inactive
Date of registration: 29 May 1998 (27 years ago)
Date of dissolution: 21 Dec 2017
Entity Number: 2264227
ZIP code: 14618
County: Monroe
Place of Formation: New York
Address: 2365 S CLINTON AVE / SUITE 100, ROCHESTER, NY, United States, 14618

Contact Details

Phone +1 585-442-5320

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 2365 S CLINTON AVE / SUITE 100, ROCHESTER, NY, United States, 14618

Unique Entity ID

CAGE Code:
571F3
UEI Expiration Date:
2015-07-17

Business Information

Activation Date:
2014-07-17
Initial Registration Date:
2008-09-15

Commercial and government entity program

CAGE number:
571F3
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2024-03-11

Contact Information

POC:
CHERYL MAZURKIEWICZ

National Provider Identifier

NPI Number:
1548239296

Authorized Person:

Name:
MS. SARA J REID
Role:
CREDENTIALING COORDINATOR
Phone:

Taxonomy:

Selected Taxonomy:
207RC0000X - Cardiovascular Disease Physician
Is Primary:
Yes

Contacts:

Fax:
5854425526

Form 5500 Series

Employer Identification Number (EIN):
161553113
Plan Year:
2015
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
115
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
86
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
0
Sponsors Telephone Number:
Plan Year:
2012
Number Of Participants:
116
Sponsors Telephone Number:

History

Start date End date Type Value
2002-08-23 2006-06-09 Name UNIVERSITY CARDIOVASCULAR ASSOCIATES, LLC
2002-08-23 2004-06-02 Address 2400 CLINTON AVE.SO., BUILDING H, SUITE 150, ROCHESTER, NY, 14618, USA (Type of address: Service of Process)
2002-05-15 2002-08-23 Address CARDIOVASCULAR ASSOCIATES, 2400 S CLINTON AVE/BLDG H/#150, ROCHESTER, NY, 14618, USA (Type of address: Service of Process)
2000-05-16 2002-05-15 Address 2400 S. CLINTON AVE., BLDG C SUITE 150, ROCHESTER, NY, 14618, USA (Type of address: Service of Process)
1998-05-29 2002-08-23 Name VARON CARDIOLOGY, LLC

Filings

Filing Number Date Filed Type Effective Date
171221000329 2017-12-21 CERTIFICATE OF DISSOLUTION 2017-12-21
160711006042 2016-07-11 BIENNIAL STATEMENT 2016-05-01
140505007291 2014-05-05 BIENNIAL STATEMENT 2014-05-05
100607002944 2010-06-07 BIENNIAL STATEMENT 2010-05-01
080512002201 2008-05-12 BIENNIAL STATEMENT 2008-05-01

USAspending Awards / Contracts

Procurement Instrument Identifier:
VA52812J0017
Award Or Idv Flag:
AWARD
Award Type:
DO
Action Obligation:
22500.00
Base And Exercised Options Value:
22500.00
Base And All Options Value:
22500.00
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2011-10-01
Description:
CARDIOLOGY SERVICES ROPC
Naics Code:
621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product Or Service Code:
Q502: MEDICAL- CARDIO-VASCULAR
Procurement Instrument Identifier:
VA528C12046
Award Or Idv Flag:
AWARD
Award Type:
DO
Action Obligation:
60000.00
Base And Exercised Options Value:
60000.00
Base And All Options Value:
60000.00
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2010-10-17
Description:
CARDIOLOGY SERVICES ROPC
Naics Code:
621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product Or Service Code:
Q502: CARDIO-VASCULAR SERVICES
Procurement Instrument Identifier:
VA528P0698
Award Or Idv Flag:
IDV
Action Obligation:
0.00
Base And All Options Value:
486873.92
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2010-08-18
Description:
CARDIOLOGY SERVICES ROPC
Naics Code:
621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product Or Service Code:
Q502: CARDIO-VASCULAR SERVICES

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Date of last update: 31 Mar 2025

Sources: New York Secretary of State