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LONDON MEDICAL DIAGNOSTIC, P.C.

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Company Details

Name: LONDON MEDICAL DIAGNOSTIC, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 23 Apr 2004 (21 years ago)
Entity Number: 3044660
ZIP code: 11375
County: Queens
Place of Formation: New York
Address: 10525 64th Ave, Forest Hills, NY, United States, 11375
Principal Address: 108-17 85TH AVE, RICHMOND HILL, NY, United States, 11418

Contact Details

Phone +1 718-934-2211

Phone +1 718-513-4455

Phone +1 718-459-3494

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
LONDON MEDICAL DIAGNOSTIC PC DOS Process Agent 10525 64th Ave, Forest Hills, NY, United States, 11375

Chief Executive Officer

Name Role Address
ILYA BURSHTEYN Chief Executive Officer 108-17 85TH AVE, RICHMOND HILL, NY, United States, 11418

Unique Entity ID

Unique Entity ID:
RM4ZSLKZ5Q86
CAGE Code:
9RYC4
UEI Expiration Date:
2025-11-25

Business Information

Activation Date:
2024-11-27
Initial Registration Date:
2023-09-25

National Provider Identifier

NPI Number:
1407002702
Certification Date:
2023-06-19

Authorized Person:

Name:
DR. ILYA Y BURSHTEYN
Role:
MD/CEO
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
No
Selected Taxonomy:
174400000X - Specialist
Is Primary:
No
Selected Taxonomy:
213E00000X - Podiatrist
Is Primary:
No
Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
No
Selected Taxonomy:
363AM0700X - Medical Physician Assistant
Is Primary:
No

Contacts:

Fax:
7186066069

History

Start date End date Type Value
2023-12-10 2023-12-18 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2023-12-10 2023-12-10 Address 108-17 85TH AVE, RICHMOND HILL, NY, 11418, USA (Type of address: Chief Executive Officer)
2023-04-24 2023-12-10 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2006-05-04 2023-12-10 Address 108-17 85TH AVE, RICHMOND HILL, NY, 11418, USA (Type of address: Chief Executive Officer)
2004-04-23 2023-04-24 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
231210000118 2023-12-10 BIENNIAL STATEMENT 2022-04-01
180822000153 2018-08-22 ANNULMENT OF DISSOLUTION 2018-08-22
DP-2149797 2016-06-29 DISSOLUTION BY PROCLAMATION 2016-06-29
100416002177 2010-04-16 BIENNIAL STATEMENT 2010-04-01
080603002089 2008-06-03 BIENNIAL STATEMENT 2008-04-01

Paycheck Protection Program

Jobs Reported:
15
Initial Approval Amount:
$102,500
Date Approved:
2020-05-02
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$102,500
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$103,473.75
Servicing Lender:
TD Bank, National Association
Use of Proceeds:
Payroll: $102,500

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Date of last update: 29 Mar 2025

Sources: New York Secretary of State