| Name: | WESTERLY RADIOLOGY ASSOCIATES, INC. |
| Jurisdiction: | Rhode Island |
| Entity type: | Professional Service Corporation |
| Status: | Dissolved |
| Date of Organization in Rhode Island: | 22 Dec 1982 (42 years ago) |
| Date of Dissolution: | 12 Feb 2020 (5 years ago) |
| Date of Status Change: | 12 Feb 2020 (5 years ago) |
| Identification Number: | 000017348 |
| ZIP code: | 02891 |
| County: | Washington County |
| Principal Address: | C/O YALE NEW HAVEN WESTERLY HOSPITAL 25 WELLS STREET, WESTERLY, RI, 02891, USA |
| Purpose: | DIAGNOSTIC RADIOLOGY SERVICES |
| NAICS: | 621111 - Offices of Physicians (except Mental Health Specialists) |
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | WESTERLY RADIOLOGY ASSOCIATES, INC., CONNECTICUT | 0545794 | CONNECTICUT |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053386375 | 2006-02-21 | 2018-03-17 | 116 GRANITE ST, WESTERLY, RI, 028912460, US | 116 GRANITE ST, WESTERLY, RI, 028912460, US | |||||||||||||||||
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| Phone | +1 401-596-5695 |
| Fax | 4015960170 |
Authorized person
| Name | DANIEL CHARLES DIFFIN |
| Role | PRESIDENT |
| Phone | 4013483293 |
Taxonomy
| Taxonomy Code | 2085R0202X - Diagnostic Radiology Physician |
| State | RI |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| WESTERLY RADIOLOGY ASSOCIATES, INC 401(K) PLAN | 2009 | 050398363 | 2010-07-27 | WESTERLY RADIOLOGY ASSOCIATES, INC | 6 | |||||||||||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 050398363 |
| Plan administrator’s name | WESTERLY RADIOLOGY ASSOCIATES, INC |
| Plan administrator’s address | 55 BEACH STREET, SUITE 8B2C, WESTERLY, RI, 02891 |
| Administrator’s telephone number | 4015965695 |
Signature of
| Role | Employer/plan sponsor |
| Date | 2010-07-27 |
| Name of individual signing | LAURA SCHICK |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 2002-02-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 4015965695 |
| Plan sponsor’s address | 55 BEACH STREET, SUITE 8B2C, WESTERLY, RI, 02891 |
Plan administrator’s name and address
| Administrator’s EIN | 050398363 |
| Plan administrator’s name | WESTERLY RADIOLOGY ASSOCIATES, INC |
| Plan administrator’s address | 55 BEACH STREET, SUITE 8B2C, WESTERLY, RI, 02891 |
| Administrator’s telephone number | 4015965695 |
Signature of
| Role | Plan administrator |
| Date | 2010-09-29 |
| Name of individual signing | LAURA SCHICK |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2010-07-27 |
| Name of individual signing | LAURA SCHICK |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| CYNTHIA J. WARREN, ESQ. | Agent | CAMERON & MITTLEMAN LLP 301 PROMENADE STREET, PROVIDENCE, RI, 02908, USA |
| Name | Role | Address |
|---|---|---|
| DANIEL C. DIFFIN MD | PRESIDENT | 25 WELLS STREET WESTERLY, RI 02891 USA |
| Name | Role | Address |
|---|---|---|
| MICHAEL C. NILES MD | TREASURER | 25 WELLS STREET WESTERLY, RI 02891 USA |
| Name | Role | Address |
|---|---|---|
| MICHAEL C. NILES MD | SECRETARY | 25 WELLS STREET WESTERLY, RI 02891 USA |
| Name | Role | Address |
|---|---|---|
| DANIEL C. DIFFIN MD | DIRECTOR | 25 WELLS STREET WESTERLY, RI 02891 USA |
| MICHAEL C. NILES MD | DIRECTOR | 25 WELLS WESTERLY, RI 02891 USA |
| Number | Name | File Date |
|---|---|---|
| 202034296390 | Annual Report | 2020-02-13 |
| 202034243510 | Articles of Dissolution | 2020-02-12 |
| 201986633020 | Annual Report | 2019-02-14 |
| 201860827800 | Annual Report | 2018-03-23 |
| 201738029990 | Annual Report | 2017-03-15 |
| 201694071130 | Annual Report | 2016-03-09 |
| 201557743370 | Annual Report | 2015-03-18 |
| 201437185870 | Annual Report | 2014-03-17 |
| 201314216880 | Annual Report | 2013-03-20 |
| 201291244810 | Annual Report | 2012-03-16 |
Date of last update: 06 Oct 2024
Sources: Rhode Island Department of State
