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INTEGRATED MEDICAL DIAGNOSTIC SERVICES, P.C.

Company Details

Name: INTEGRATED MEDICAL DIAGNOSTIC SERVICES, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 12 Dec 2012 (12 years ago)
Entity Number: 4331895
ZIP code: 11753
County: Nassau
Place of Formation: New York
Address: 366 N. BROADWAY, STE. 206, JERICHO, NY, United States, 11753

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 366 N. BROADWAY, STE. 206, JERICHO, NY, United States, 11753

National Provider Identifier

NPI Number:
1740527993

Authorized Person:

Name:
MICHELLE CLANCY
Role:
EXECUTIVE ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
207RC0000X - Cardiovascular Disease Physician
Is Primary:
Yes
Selected Taxonomy:
2085N0700X - Neuroradiology Physician
Is Primary:
No
Selected Taxonomy:
2085N0904X - Nuclear Radiology Physician
Is Primary:
No
Selected Taxonomy:
2085R0202X - Diagnostic Radiology Physician
Is Primary:
No

Contacts:

Fax:
8779223329

Filings

Filing Number Date Filed Type Effective Date
121212000700 2012-12-12 CERTIFICATE OF INCORPORATION 2012-12-12

Date of last update: 26 Mar 2025

Sources: New York Secretary of State