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MEDICAL DIAGNOSTIC GROUP, P. C.

Company Details

Name: MEDICAL DIAGNOSTIC GROUP, P. C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 19 Aug 1974 (51 years ago)
Entity Number: 350232
ZIP code: 10940
County: Orange
Place of Formation: New York
Address: 210 EAST MAIN STREET, MIDDLETOWN, NY, United States, 10940

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
DR. ROBERT L. DOUGLAS Chief Executive Officer 210 EAST MAIN STREET, MIDDLETOWN, NY, United States, 10940

DOS Process Agent

Name Role Address
DR. ROBERT L. DOUGLAS DOS Process Agent 210 EAST MAIN STREET, MIDDLETOWN, NY, United States, 10940

National Provider Identifier

NPI Number:
1932153921

Authorized Person:

Name:
DR. ROBERT L DOUGLAS
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
8453420470

Form 5500 Series

Employer Identification Number (EIN):
141563710
Plan Year:
2011
Number Of Participants:
24
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
24
Sponsors Telephone Number:
Plan Year:
2009
Number Of Participants:
22
Sponsors Telephone Number:

History

Start date End date Type Value
1993-04-12 1998-09-03 Address RD 1 BOX 438, BLOOMINGBURG, NY, 12721, USA (Type of address: Chief Executive Officer)
1993-04-12 1998-09-03 Address 210 EAST MAIN STREET, MIDDLETOWN, NY, 10940, USA (Type of address: Service of Process)
1974-08-19 1993-04-12 Address 210 EAST MAIN ST., MIDDLETOWN, NY, 10940, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
100827002545 2010-08-27 BIENNIAL STATEMENT 2010-08-01
080808002465 2008-08-08 BIENNIAL STATEMENT 2008-08-01
060810002149 2006-08-10 BIENNIAL STATEMENT 2006-08-01
20041217031 2004-12-17 ASSUMED NAME CORP INITIAL FILING 2004-12-17
040923002048 2004-09-23 BIENNIAL STATEMENT 2004-08-01

Date of last update: 18 Mar 2025

Sources: New York Secretary of State