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SHIMUNLEVY IMAGE CORP

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Company Details

Name: SHIMUNLEVY IMAGE CORP
Jurisdiction: New York
Legal type: FOREIGN BUSINESS CORPORATION
Status: Active
Date of registration: 12 Jan 2021 (4 years ago)
Branch of: SHIMUNLEVY IMAGE CORP, Florida (Company Number P20000076425)
Entity Number: 5915829
ZIP code: 11367
County: Queens
Place of Formation: Florida
Address: 147-64 77TH AVE., FLUSHING, NY, United States, 11367

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 147-64 77TH AVE., FLUSHING, NY, United States, 11367

National Provider Identifier

NPI Number:
1942806708
Certification Date:
2020-12-08

Authorized Person:

Name:
DEREK MERCER
Role:
CREDENTIALING SPECIALIST
Phone:

Taxonomy:

Selected Taxonomy:
246XS1301X - Sonography Specialist/Technologist
Is Primary:
No
Selected Taxonomy:
2471V0105X - Vascular Sonography Radiologic Technologist
Is Primary:
No
Selected Taxonomy:
2471S1302X - Sonography Radiologic Technologist
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
210112000512 2021-01-12 APPLICATION OF AUTHORITY 2021-01-12

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Date of last update: 22 Mar 2025

Sources: New York Secretary of State