Name: | Saint Joseph's Radiology Associates, Inc. |
Jurisdiction: | Rhode Island |
Entity type: | Professional Service Corporation |
Status: | Dissolved |
Date of Organization in Rhode Island: | 28 Jan 1975 (50 years ago) |
Date of Dissolution: | 23 Jan 2017 (8 years ago) |
Date of Status Change: | 23 Jan 2017 (8 years ago) |
Identification Number: | 000007760 |
ZIP code: | 02915 |
County: | Providence County |
Principal Address: | 1275 WAMPANOAG TRAIL, EAST PROVIDENCE, RI, 02915, USA |
Purpose: | PHYSICIANS OFFICE--- RADIOLOGICAL SERVICES |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1891716882 | 2006-07-22 | 2020-08-22 | 21 PEACE ST, SUITE 251 EAST, PROVIDENCE, RI, 029071510, US | 200 HIGH SERVICE AVE, RADIOLOGY DEPARTMENT, NORTH PROVIDENCE, RI, 029045113, US | |||||||||||||||||||||||||||
|
Phone | +1 401-837-2388 |
Fax | 4014564043 |
Authorized person
Name | DR. STEVEN WEISBLATT |
Role | PRESIDENT |
Phone | 4018372388 |
Taxonomy
Taxonomy Code | 2085R0202X - Diagnostic Radiology Physician |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | SJ07297 |
State | RI |
Issuer | MEDICAID |
Number | 9734813 |
State | MA |
Name | Role | Address |
---|---|---|
LEONARD A. PETRUSKA | Agent | 1006 CHARLES STREET, NORTH PROVIDENCE, RI, 02904, USA |
Name | Role | Address |
---|---|---|
STEVEN WEISBLATT MD | VICE PRESIDENT | 14 MASSASOIT AVE. PAWTUCKET, RI 02861 USA |
RAHUL SOMVANSHI MD | VICE PRESIDENT | 115 FERNWOOD DR. EAST GREENWICH, RI 02818 USA |
Name | Role | Address |
---|---|---|
MARK A GEIST MD | PRESIDENT | 26 HUMBOLT AVENUE PROVIDENCE, RI 02906- USA |
Number | Name | File Date |
---|---|---|
201730649970 | Articles of Dissolution | 2017-01-23 |
201730649600 | Statement of Change of Registered/Resident Agent | 2017-01-23 |
201730648630 | Reinstatement | 2017-01-23 |
201696220040 | Miscellaneous Filing (No Fee) | 2016-04-15 |
201695643570 | Miscellaneous Filing (No Fee) | 2016-03-31 |
201695386350 | Revocation Certificate For Failure to Maintain a Registered Office | 2016-03-30 |
201694072920 | Miscellaneous Filing (No Fee) | 2016-03-09 |
201693375310 | Annual Report | 2016-02-29 |
201690502610 | Revocation Notice For Failure to Maintain a Registered Office | 2016-01-14 |
201690408750 | Registered Office Not Maintained | 2015-12-18 |
Date of last update: 05 Oct 2024
Sources: Rhode Island Department of State