| Name: | RADIOLOGY ASSOCIATES, INC. |
| Jurisdiction: | Rhode Island |
| Entity type: | Professional Service Corporation |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 24 Dec 1973 (51 years ago) |
| Date of Dissolution: | 25 Jul 2017 (8 years ago) |
| Date of Status Change: | 25 Jul 2017 (8 years ago) |
| Identification Number: | 000017149 |
| ZIP code: | 02895 |
| County: | Providence County |
| Principal Address: | 38 HAMLET AVENUE, WOONSOCKET, RI, 02895, USA |
| Purpose: | DIAGNOSTIC IMAGING |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1043213754 | 2005-05-27 | 2011-09-28 | 38 HAMLET AVE, WOONSOCKET, RI, 028954423, US | 235 PLAIN ST LOWR LEVEL, PROVIDENCE, RI, 029053240, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 401-762-0020 |
| Fax | 4017621819 |
| Phone | +1 401-272-8510 |
| Fax | 4012720315 |
Authorized person
| Name | LISA MARQUIS |
| Role | BILLING MANAGER |
| Phone | 4017620020 |
Taxonomy
| Taxonomy Code | 2085R0202X - Diagnostic Radiology Physician |
| License Number | RAD0090 |
| State | RI |
| Is Primary | Yes |
| Taxonomy Code | 2085U0001X - Diagnostic Ultrasound Physician |
| License Number | RAD0090 |
| State | RI |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 9782109 |
| State | MA |
| Issuer | FALLON |
| Number | 20407 |
| Issuer | HEALTHY START |
| Number | 9782109 |
| State | MA |
| Issuer | NHP RI |
| Number | 0845 |
| State | RI |
| Issuer | RI BCBS |
| Number | 236 |
| State | RI |
| Issuer | HPHC |
| Number | 603550 |
| Issuer | ME MEDICAID |
| Number | 431721601 |
| State | ME |
| Issuer | TUFTS |
| Number | 705830 |
| Issuer | NHP MA |
| Number | 0008792 |
| State | MA |
| Issuer | ANTHEM BCBS |
| Number | 50RADINCMMA01 |
| State | CT |
| Issuer | BLUECHIP |
| Number | CPG0000302 |
| State | RI |
| Issuer | MA BCBS |
| Number | M16192 |
| State | MA |
| Issuer | UHC |
| Number | 16-00136 |
| Issuer | MEDICAID |
| Number | 9000236 |
| State | RI |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RADIOLOGY ASSOCIATES, INC. PROFIT SHARING PLAN | 2016 | 050353902 | 2017-12-26 | RADIOLOGY ASSOCIATES, INC. | 3 | |||||||||||||
|
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| Name | Role | Address |
|---|---|---|
| FRANK W. MUSCHE | TREASURER | 38 HAMLET AVENUE WOONSOCKET, RI 02895 USA |
| Name | Role | Address |
|---|---|---|
| ANTHONY R. POTENZA | VICE PRESIDENT | 38 HAMLET AVENUE WOONSOCKET, RI 02895 USA |
| Name | Role | Address |
|---|---|---|
| VINCENT DECESARIS MD | PRESIDENT | 38 HAMLET AVENUE WOONSOCKET, RI 02895- USA |
| Number | Name | File Date |
|---|---|---|
| 201747630860 | Revocation Certificate For Failure to Maintain a Registered Agent | 2017-07-25 |
| 201742157920 | Revocation Notice For Failure to Maintain a Registered Agent | 2017-04-28 |
| 201737961390 | Agent Resigned | 2017-03-13 |
| 201692493970 | Annual Report | 2016-02-16 |
| 201554969980 | Annual Report | 2015-02-12 |
| 201433947580 | Annual Report | 2014-01-23 |
| 201310226180 | Annual Report | 2013-01-22 |
| 201288439690 | Annual Report | 2012-01-23 |
| 201174564930 | Annual Report | 2011-02-07 |
| 201058541060 | Annual Report | 2010-02-17 |
Date of last update: 06 Oct 2024
Sources: Rhode Island Department of State
