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EASTSIDE MEDICAL URGENT CARE, LLC

Company Details

Name: EASTSIDE MEDICAL URGENT CARE, LLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Inactive
Date of registration: 24 Dec 2002 (22 years ago)
Date of dissolution: 24 Nov 2021
Entity Number: 2849035
ZIP code: 14526
County: Monroe
Place of Formation: New York
Address: PO BOX 1076, 2226 PENFIELD ROAD, PENFIELD, NY, United States, 14526

DOS Process Agent

Name Role Address
EASTSIDE MEDICAL URGENT CARE, LLC DOS Process Agent PO BOX 1076, 2226 PENFIELD ROAD, PENFIELD, NY, United States, 14526

National Provider Identifier

NPI Number:
1528045135

Authorized Person:

Name:
TAHMTAN HORMOZDYARAN
Role:
MEDICAL DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
261QU0200X - Urgent Care Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
5853885282

Form 5500 Series

Employer Identification Number (EIN):
134230348
Plan Year:
2017
Number Of Participants:
25
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
33
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
30
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
27
Sponsors Telephone Number:

History

Start date End date Type Value
2015-01-09 2022-06-01 Address PO BOX 1076, 2226 PENFIELD ROAD, PENFIELD, NY, 14526, USA (Type of address: Service of Process)
2002-12-24 2015-01-09 Address PO BOX 1076, PENFIELD, NY, 14526, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
220601000817 2021-11-24 CERTIFICATE OF DISSOLUTION-CANCELLATION 2021-11-24
150109006184 2015-01-09 BIENNIAL STATEMENT 2014-12-01
121218006615 2012-12-18 BIENNIAL STATEMENT 2012-12-01
110107002705 2011-01-07 BIENNIAL STATEMENT 2010-12-01
081125002644 2008-11-25 BIENNIAL STATEMENT 2008-12-01

Date of last update: 30 Mar 2025

Sources: New York Secretary of State