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LIFELINE MEDICAL TESTING PLLC

Company Details

Name: LIFELINE MEDICAL TESTING PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 06 Oct 2022 (3 years ago)
Entity Number: 6610777
ZIP code: 11746
County: Suffolk
Place of Formation: New York
Address: 40 ORMOND STREET, DIX HILLS, NY, United States, 11746

Contact Details

Phone +1 718-224-2141

DOS Process Agent

Name Role Address
C/O THE PLLC DOS Process Agent 40 ORMOND STREET, DIX HILLS, NY, United States, 11746

National Provider Identifier

NPI Number:
1114634482
Certification Date:
2022-11-04

Authorized Person:

Name:
DR. DIEGO DIAZ
Role:
MEDICAL DIRECTOR/CEO
Phone:

Taxonomy:

Selected Taxonomy:
207RP1001X - Pulmonary Disease Physician
Is Primary:
Yes

Contacts:

History

Start date End date Type Value
2022-10-07 2023-02-02 Address 40 ormond street, HUNTINGTON STATION, NY, 11746, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
230202001365 2022-12-07 CERTIFICATE OF PUBLICATION 2022-12-07
221007001567 2022-10-06 ARTICLES OF ORGANIZATION 2022-10-06

Date of last update: 21 Mar 2025

Sources: New York Secretary of State