| Name: | MEDICAL PROVIDER SERVICE, P.C. |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC PROFESSIONAL SERVICE CORPORATION |
| Status: | Inactive |
| Date of registration: | 05 Dec 2017 (7 years ago) |
| Date of dissolution: | 01 Apr 2022 |
| Entity Number: | 5245321 |
| ZIP code: | 12207 |
| County: | Albany |
| Place of Formation: | New York |
| Address: | 90 STATE STREET, STE 700, OFFICE 40, ALBANY, NY, United States, 12207 |
| Principal Address: | 60 ROBERTS DR., SUITE 313, NORTH ADAMS, MA, United States, 01247 |
Shares Details
Shares issued 100
Share Par Value 0
Type NO PAR VALUE
| Name | Role | Address |
|---|---|---|
| REGISTERED AGENTS INC. | DOS Process Agent | 90 STATE STREET, STE 700, OFFICE 40, ALBANY, NY, United States, 12207 |
| Name | Role | Address |
|---|---|---|
| REGISTERED AGENTS INC. | Agent | 90 STATE STREET, STE 700, OFFICE 40, ALBANY, NY, 12207 |
| Name | Role | Address |
|---|---|---|
| RAGHAVENDRA KULKARNI, M.D. | Chief Executive Officer | 60 ROBERTS DR., SUITE 313, NORTH ADAMS, MA, United States, 01247 |
| Start date | End date | Type | Value |
|---|---|---|---|
| 2019-12-10 | 2022-04-02 | Address | 60 ROBERTS DR., SUITE 313, NORTH ADAMS, MA, 01247, USA (Type of address: Chief Executive Officer) |
| 2019-03-12 | 2022-04-02 | Address | 90 STATE STREET, STE 700, OFFICE 40, ALBANY, NY, 12207, USA (Type of address: Registered Agent) |
| 2019-03-12 | 2022-04-02 | Address | 90 STATE STREET, STE 700, OFFICE 40, ALBANY, NY, 12207, USA (Type of address: Service of Process) |
| 2017-12-05 | 2022-04-01 | Shares | Share type: NO PAR VALUE, Number of shares: 100, Par value: 0 |
| 2017-12-05 | 2019-03-12 | Address | PO BOX 231, PETERSBURGH, NY, 12138, USA (Type of address: Service of Process) |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 220402000185 | 2022-04-01 | CERTIFICATE OF DISSOLUTION-CANCELLATION | 2022-04-01 |
| 191210060195 | 2019-12-10 | BIENNIAL STATEMENT | 2019-12-01 |
| 190312000766 | 2019-03-12 | CERTIFICATE OF CHANGE | 2019-03-12 |
| 171205000410 | 2017-12-05 | CERTIFICATE OF INCORPORATION | 2017-12-05 |
Date of last update: 07 Mar 2025
Sources: New York Secretary of State
