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OMNI MEDICAL 360 PLLC

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Company Details

Name: OMNI MEDICAL 360 PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 19 Jan 2024 (a year ago)
Entity Number: 7234315
ZIP code: 11787
County: Suffolk
Place of Formation: New York
Address: 100 maple avenue, SMITHTOWN, NY, United States, 11787

DOS Process Agent

Name Role Address
the llc DOS Process Agent 100 maple avenue, SMITHTOWN, NY, United States, 11787

National Provider Identifier

NPI Number:
1114780525
Certification Date:
2024-01-31

Authorized Person:

Name:
DR. MATTHEW LOBOSCO
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
No
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

History

Start date End date Type Value
2024-01-22 2024-03-19 Address 100 maple avenue, SMITHTOWN, NY, 11787, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240319000567 2024-03-18 CERTIFICATE OF PUBLICATION 2024-03-18
240122002226 2024-01-19 ARTICLES OF ORGANIZATION 2024-01-19

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Date of last update: 19 Mar 2025

Sources: New York Secretary of State