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AGEWELL DIAGNOSTICS INC

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Company Details

Name: AGEWELL DIAGNOSTICS INC
Jurisdiction: New York
Legal type: DOMESTIC BUSINESS CORPORATION
Status: Active
Date of registration: 17 Mar 2017 (8 years ago)
Entity Number: 5104117
ZIP code: 11042
County: Nassau
Place of Formation: New York
Address: 1999 MARCUS AVE, SUITE M15, LAKE SUCCESS, NY, United States, 11042

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
JOHN DRAGAN DOS Process Agent 1999 MARCUS AVE, SUITE M15, LAKE SUCCESS, NY, United States, 11042

National Provider Identifier

NPI Number:
1366930836

Authorized Person:

Name:
MR. MARK HERBRICH
Role:
OWNER/PT
Phone:

Taxonomy:

Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
Yes

Contacts:

Fax:
5164888808

History

Start date End date Type Value
2017-03-17 2025-04-29 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2017-03-17 2025-05-09 Address 1999 MARCUS AVE, SUITE M15, LAKE SUCCESS, NY, 11042, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
250509001447 2025-04-29 CERTIFICATE OF DISSOLUTION-CANCELLATION 2025-04-29
170317010484 2017-03-17 CERTIFICATE OF INCORPORATION 2017-03-17

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Date of last update: 24 Mar 2025

Sources: New York Secretary of State