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CHURCH-MCDONALD MEDICAL DIAGNOSTIC PLLC

Company Details

Name: CHURCH-MCDONALD MEDICAL DIAGNOSTIC PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 01 Apr 2016 (9 years ago)
Entity Number: 4923199
ZIP code: 11432
County: Kings
Place of Formation: New York
Address: 486 MCDONALD AVE., BROOKLYN, NY, United States, 11432

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 486 MCDONALD AVE., BROOKLYN, NY, United States, 11432

National Provider Identifier

NPI Number:
1700234358

Authorized Person:

Name:
MS. TINA SHALLONIS
Role:
BILLING MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
261QP3300X - Pain Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
8664023481

Filings

Filing Number Date Filed Type Effective Date
160401000610 2016-04-01 ARTICLES OF ORGANIZATION 2016-04-01

Date of last update: 25 Mar 2025

Sources: New York Secretary of State