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OMNI INTERVENTIONAL PAIN MANAGEMENT, PLLC

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Company Details

Name: OMNI INTERVENTIONAL PAIN MANAGEMENT, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 16 Apr 2010 (15 years ago)
Entity Number: 3937570
ZIP code: 11355
County: Queens
Place of Formation: New York
Address: 132-15 41ST AVE., SUITE CB, FLUSHING, NY, United States, 11355

Contact Details

Phone +1 718-321-3382

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 132-15 41ST AVE., SUITE CB, FLUSHING, NY, United States, 11355

National Provider Identifier

NPI Number:
1710292651

Authorized Person:

Name:
DR. DIANE LAM
Role:
MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
207LP2900X - Pain Medicine (Anesthesiology) Physician
Is Primary:
Yes

Contacts:

History

Start date End date Type Value
2015-06-05 2016-11-04 Address 132-15 41ST AVE, SUITE CB, FLUSHING, NY, 11355, USA (Type of address: Service of Process)
2010-04-16 2015-06-05 Address 1622 WELLS ROAD, VALLEY STREAM, NY, 11580, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
180409006682 2018-04-09 BIENNIAL STATEMENT 2018-04-01
161104000344 2016-11-04 CERTIFICATE OF CHANGE 2016-11-04
150605006215 2015-06-05 BIENNIAL STATEMENT 2014-04-01
120913002410 2012-09-13 BIENNIAL STATEMENT 2012-04-01
101015000436 2010-10-15 CERTIFICATE OF PUBLICATION 2010-10-15

USAspending Awards / Financial Assistance

Date:
2021-02-19
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
17972.00
Total Face Value Of Loan:
17972.00
Date:
2020-05-02
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
17975.00
Total Face Value Of Loan:
17975.00

Paycheck Protection Program

Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
17975
Current Approval Amount:
17975
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
18134.52
Date Approved:
2021-02-19
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
17972
Current Approval Amount:
17972
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
18090.4

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Date of last update: 27 Mar 2025

Sources: New York Secretary of State