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MIRAGENEX LLC

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Company Details

Name: MIRAGENEX LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 28 Dec 2020 (5 years ago)
Entity Number: 5904336
ZIP code: 11791
County: Nassau
Place of Formation: New York
Address: 125 MICHAEL DRIVE, SYOSSET, NY, United States, 11791

DOS Process Agent

Name Role Address
NICHOLAS VARTANIAN DOS Process Agent 125 MICHAEL DRIVE, SYOSSET, NY, United States, 11791

National Provider Identifier

NPI Number:
1205524014
Certification Date:
2023-04-28

Authorized Person:

Name:
MOHAMAD A KHODAIR
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
291U00000X - Clinical Medical Laboratory
Is Primary:
Yes

Contacts:

Fax:
5167539964

Filings

Filing Number Date Filed Type Effective Date
201228010262 2020-12-28 ARTICLES OF ORGANIZATION 2020-12-28

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Date of last update: 22 Mar 2025

Sources: New York Secretary of State