| Entity Name: | PIONEER VALLEY PEDIATRICS, INC. |
| Jurisdiction: | Connecticut |
| Legal type: | Stock |
| Citizenship: | Foreign |
| Status: | Active |
| Sub status: | Annual report due |
| Date Formed: | 02 Oct 1997 |
| Business ALEI: | 0573016 |
| Annual report due: | 02 Oct 2025 |
| NAICS code: | 621111 - Offices of Physicians (except Mental Health Specialists) |
| Business address: | 115 ELM STREET, ENFIELD, CT, 06082, United States |
| Mailing address: | 123 DWIGHT ROAD, LONGMEADOW, MA, United States, 01106 |
| ZIP code: | 06082 |
| County: | Hartford |
| Place of Formation: | MASSACHUSETTS |
| E-Mail: | denahoberman@me.com |
| Name | Role | Business address | Phone | Residence address | |
|---|---|---|---|---|---|
| Dena Hoberman | Agent | 115 ELM STREET, ENFIELD, CT, 06082, United States | +1 860-324-0763 | denahoberman@me.com | 77 Pilgrim Rd, West Hartford, CT, 06117-2244, United States |
| Name | Role | Business address | Phone | Residence address | |
|---|---|---|---|---|---|
| Mina Farkhondeh | Director | 115 ELM STREET, ENFIELD, CT, 06082, United States | No data | No data | 11 Griswold Dr, West Hartford, CT, 06119-1147, United States |
| Sarah Germani | Director | 115 ELM STREET, ENFIELD, CT, 06082, United States | No data | No data | 237 Burbank Rd, Longmeadow, MA, 01106-1505, United States |
| RICHARD A. SEGOOL | Director | 115 ELM STREET, ENFIELD, CT, 06082, United States | No data | No data | 249 FAIRHILL LANE, SUFFIELD, CT, 06078, United States |
| Dena Hoberman | Director | 115 ELM STREET, ENFIELD, CT, 06082, United States | +1 860-324-0763 | denahoberman@me.com | 77 Pilgrim Rd, West Hartford, CT, 06117-2244, United States |
| JOSEPH EDMUND YUNIS | Director | 115 ELM STREET, ENFIELD, CT, 06082, United States | No data | No data | 20 HARBOURSIDE DRIVE, SUFFIELD, CT, 06078, United States |
| Karen Camera | Director | 115 ELM STREET, ENFIELD, CT, 06082, United States | No data | No data | 11 Cherrybrook Lane, Suffield, CT, 06078, United States |
| Name | Role | Business address | Phone | Residence address | |
|---|---|---|---|---|---|
| Sarah Germani | Officer | 115 ELM STREET, ENFIELD, CT, 06082, United States | No data | No data | 237 Burbank Rd, Longmeadow, MA, 01106-1505, United States |
| RICHARD A. SEGOOL | Officer | 115 ELM STREET, ENFIELD, CT, 06082, United States | No data | No data | 249 FAIRHILL LANE, SUFFIELD, CT, 06078, United States |
| Dena Hoberman | Officer | 115 ELM STREET, ENFIELD, CT, 06082, United States | +1 860-324-0763 | denahoberman@me.com | 77 Pilgrim Rd, West Hartford, CT, 06117-2244, United States |
| JOSEPH EDMUND YUNIS | Officer | 115 ELM STREET, ENFIELD, CT, 06082, United States | No data | No data | 20 HARBOURSIDE DRIVE, SUFFIELD, CT, 06078, United States |
| Credential | Credential type | Status | Status reason | Issue date | Effective date | Expiration date |
|---|---|---|---|---|---|---|
| CLAB.0000802 | Clinical Laboratory | CLOSED | CLOSED | 1997-07-11 | 2023-10-01 | 2025-09-30 |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012175353 | 2024-09-16 | No data | Annual Report | Annual Report | No data |
| BF-0011261640 | 2023-09-21 | No data | Annual Report | Annual Report | No data |
| BF-0010394402 | 2022-09-13 | No data | Annual Report | Annual Report | 2022 |
| BF-0009820336 | 2021-09-17 | No data | Annual Report | Annual Report | No data |
| 0006996838 | 2020-10-07 | No data | Annual Report | Annual Report | 2020 |
| 0006652386 | 2019-10-01 | No data | Annual Report | Annual Report | 2019 |
| 0006275912 | 2018-11-13 | No data | Annual Report | Annual Report | 2017 |
| 0006275926 | 2018-11-13 | No data | Annual Report | Annual Report | 2018 |
| 0006275897 | 2018-11-13 | No data | Annual Report | Annual Report | 2015 |
| 0006275907 | 2018-11-13 | No data | Annual Report | Annual Report | 2016 |
Date of last update: 25 Nov 2024
Sources: Connecticut's Official State Website
