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PROPHASE DIAGNOSTICS NY, INC.

Company Details

Name: PROPHASE DIAGNOSTICS NY, INC.
Jurisdiction: New York
Legal type: FOREIGN BUSINESS CORPORATION
Status: Active
Date of registration: 16 Feb 2021 (4 years ago)
Entity Number: 5942233
ZIP code: 11530
County: Nassau
Place of Formation: Delaware
Address: 711 STEWART AVE, SUITE 200, GARDEN CITY, NY, United States, 11530

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 711 STEWART AVE, SUITE 200, GARDEN CITY, NY, United States, 11530

National Provider Identifier

NPI Number:
1942873484
Certification Date:
2023-04-11

Authorized Person:

Name:
PROPHASE LABS, INC
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Filings

Filing Number Date Filed Type Effective Date
210216000218 2021-02-16 APPLICATION OF AUTHORITY 2021-02-16

Date of last update: 22 Mar 2025

Sources: New York Secretary of State