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Saint Joseph's Radiology Associates, Inc.

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
LEONARD A. PETRUSKA Agent 1006 CHARLES STREET, NORTH PROVIDENCE, RI, 02904, USA

VICE PRESIDENT

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

PRESIDENT

Name Role Address
MARK A GEIST MD PRESIDENT 26 HUMBOLT AVENUE PROVIDENCE, RI 02906- USA

Filings

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