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SPINE & PAIN CARE, LLC

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Company Details

Name: SPINE & PAIN CARE, LLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 22 Apr 2004 (21 years ago)
Entity Number: 3043869
ZIP code: 14618
County: Monroe
Place of Formation: New York
Address: 2561 LAC DE VILLE BLVD, STE 201, ROCHESTER, NY, United States, 14618

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 2561 LAC DE VILLE BLVD, STE 201, ROCHESTER, NY, United States, 14618

National Provider Identifier

NPI Number:
1255431144

Authorized Person:

Name:
DR. DAVID MOORTHI
Role:
MEMBER LLC
Phone:

Taxonomy:

Selected Taxonomy:
2081P2900X - Pain Medicine (Physical Medicine & Rehabilitation) Physician
Is Primary:
No
Selected Taxonomy:
208VP0014X - Interventional Pain Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
5852711634

Form 5500 Series

Employer Identification Number (EIN):
200995527
Plan Year:
2015
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2012
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
4
Sponsors Telephone Number:

Filings

Filing Number Date Filed Type Effective Date
100315002938 2010-03-15 BIENNIAL STATEMENT 2010-04-01
090529000323 2009-05-29 CERTIFICATE OF AMENDMENT 2009-05-29
080310002807 2008-03-10 BIENNIAL STATEMENT 2008-04-01
060413002602 2006-04-13 BIENNIAL STATEMENT 2006-04-01
040720000561 2004-07-20 AFFIDAVIT OF PUBLICATION 2004-07-20

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Date of last update: 29 Mar 2025

Sources: New York Secretary of State