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  5. MEDICAL DIAGNOSTIC IMAGING, PLLC

MEDICAL DIAGNOSTIC IMAGING, PLLC

Company Details

Name: MEDICAL DIAGNOSTIC IMAGING, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 05 Aug 2002 (23 years ago)
Entity Number: 2796965
ZIP code: 12207
County: Dutchess
Place of Formation: New York
Address: 80 STATE STREET, ALBANY, NY, United States, 12207

Contact Details

Phone +1 845-471-2848

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MEDICAL DIAGNOSTIC IMAGING, PLLC INCENTIVE SAVINGS TRUST 2023 270025875 2024-09-17 MEDICAL DIAGNOSTIC IMAGING, PLLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8454715519
Plan sponsor’s address 14 RAYMOND AVENUE, POUGHKEEPSIE, NY, 12603

Signature of
Role Plan administrator
Date 2024-09-17
Name of individual signing GARY GROSSMAN, M.D
Valid signature Filed with authorized/valid electronic signature
MEDICAL DIAGNOSTIC IMAGING, PLLC INCENTIVE SAVINGS TRUST 2022 270025875 2023-10-14 MEDICAL DIAGNOSTIC IMAGING, PLLC 46
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8454715519
Plan sponsor’s address 14 RAYMOND AVENUE, POUGHKEEPSIE, NY, 12603

Signature of
Role Plan administrator
Date 2023-10-14
Name of individual signing GARY GROSSMAN, M.D
MEDICAL DIAGNOSTIC IMAGING, PLLC INCENTIVE SAVINGS TRUST 2021 270025875 2022-10-15 MEDICAL DIAGNOSTIC IMAGING, PLLC 45
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8454715519
Plan sponsor’s address 14 RAYMOND AVENUE, POUGHKEEPSIE, NY, 12603

Signature of
Role Plan administrator
Date 2022-10-15
Name of individual signing GARY GROSSMAN, M.D
MEDICAL DIAGNOSTIC IMAGING, PLLC INCENTIVE SAVINGS TRUST 2020 270025875 2021-10-12 MEDICAL DIAGNOSTIC IMAGING, PLLC 48
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8454715519
Plan sponsor’s address 14 RAYMOND AVENUE, POUGHKEEPSIE, NY, 12603

Signature of
Role Plan administrator
Date 2021-10-12
Name of individual signing GARY GROSSMAN, M.D
MEDICAL DIAGNOSTIC IMAGING, PLLC INCENTIVE SAVINGS TRUST 2019 270025875 2020-10-09 MEDICAL DIAGNOSTIC IMAGING , PLLC 47
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8454715519
Plan sponsor’s address 14 RAYMOND AVENUE, POUGHKEEPSIE, NY, 12603

Signature of
Role Plan administrator
Date 2020-10-09
Name of individual signing GARY GROSSMAN, M.D
MEDICAL DIAGNOSTIC IMAGING, PLLC INCENTIVE SAVINGS TRUST 2018 270025875 2019-10-10 MEDICAL DIAGNOSTIC IMAGING , PLLC 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8454715519
Plan sponsor’s address 14 RAYMOND AVENUE, POUGHKEEPSIE, NY, 12603

Signature of
Role Plan administrator
Date 2019-10-10
Name of individual signing GARY GROSSMAN, M.D
MEDICAL DIAGNOSTIC IMAGING, PLLC INCENTIVE SAVINGS TRUST 2017 270025875 2018-10-09 MEDICAL DIAGNOSTIC IMAGING , PLLC 56
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8454715519
Plan sponsor’s address 14 RAYMOND AVENUE, POUGHKEEPSIE, NY, 12603

Signature of
Role Plan administrator
Date 2018-10-09
Name of individual signing GARY GROSSMAN, M.D
MEDICAL DIAGNOSTIC IMAGING, PLLC INCENTIVE SAVINGS TRUST 2016 270025875 2017-10-12 MEDICAL DIAGNOSTIC IMAGING , PLLC 55
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8454715519
Plan sponsor’s address 14 RAYMOND AVENUE, POUGHKEEPSIE, NY, 12603

Signature of
Role Plan administrator
Date 2017-10-12
Name of individual signing GARY GROSSMAN, M.D
MEDICAL DIAGNOSTIC IMAGING, PLLC INCENTIVE SAVINGS TRUST 2015 270025875 2016-10-04 MEDICAL DIAGNOSTIC IMAGING , PLLC 51
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8454715519
Plan sponsor’s address 14 RAYMOND AVENUE, POUGHKEEPSIE, NY, 12603

Signature of
Role Plan administrator
Date 2016-10-04
Name of individual signing GARY GROSSMAN, M.D

DOS Process Agent

Name Role Address
C/O CORPORATION SERVICE COMPANY DOS Process Agent 80 STATE STREET, ALBANY, NY, United States, 12207

History

Start date End date Type Value
2024-12-17 2025-03-12 Address 80 STATE STREET, ALBANY, NY, 12207, 2543, USA (Type of address: Service of Process)
2004-08-19 2024-12-17 Address 14 RAYMOND AVE, POUGHKEEPSIE, NY, 12603, USA (Type of address: Service of Process)
2002-08-05 2004-08-19 Address 241 NORTH ROAD, POUGHKEEPSIE, NY, 12601, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
250312000098 2025-03-12 BIENNIAL STATEMENT 2025-03-12
241217001022 2024-12-16 CERTIFICATE OF CHANGE BY ENTITY 2024-12-16
210929000801 2021-09-29 BIENNIAL STATEMENT 2021-09-29
120814006224 2012-08-14 BIENNIAL STATEMENT 2012-08-01
100818002369 2010-08-18 BIENNIAL STATEMENT 2010-08-01
080805002614 2008-08-05 BIENNIAL STATEMENT 2008-08-01
060802002430 2006-08-02 BIENNIAL STATEMENT 2006-08-01
040819002329 2004-08-19 BIENNIAL STATEMENT 2004-08-01
021015000638 2002-10-15 AFFIDAVIT OF PUBLICATION 2002-10-15
021015000632 2002-10-15 AFFIDAVIT OF PUBLICATION 2002-10-15

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
8268367103 2020-04-15 0202 PPP 14 Raymond Avenue, Poughkeepsie, NY, 12603
Loan Status Date 2021-05-18
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 349712
Loan Approval Amount (current) 349712
Undisbursed Amount 0
Franchise Name -
Lender Location ID 46391
Servicing Lender Name Manufacturers and Traders Trust Company
Servicing Lender Address One M & T Plaza, 15th Fl, BUFFALO, NY, 14203
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Poughkeepsie, DUTCHESS, NY, 12603-0001
Project Congressional District NY-18
Number of Employees 31
NAICS code 621512
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 46391
Originating Lender Name Manufacturers and Traders Trust Company
Originating Lender Address BUFFALO, NY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 353199.54
Forgiveness Paid Date 2021-04-21

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Date of last update: 30 Mar 2025

Sources: New York Secretary of State

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