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WESTERLY RADIOLOGY ASSOCIATES, INC.

Headquarter

Company Details

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
Purpose: DIAGNOSTIC RADIOLOGY SERVICES
Principal Address: Google Maps Logo C/O YALE NEW HAVEN WESTERLY HOSPITAL 25 WELLS STREET, WESTERLY, RI, 02891, USA

Industry & Business Activity

NAICS

621111 Offices of Physicians (except Mental Health Specialists)

This U.S. industry comprises establishments of health practitioners having the degree of M.D. (Doctor of Medicine) or D.O. (Doctor of Osteopathy) primarily engaged in the independent practice of general or specialized medicine (except psychiatry or psychoanalysis) or surgery. These practitioners operate private or group practices in their own offices (e.g., centers, clinics) or in the facilities of others, such as hospitals or HMO medical centers. Learn more at the U.S. Census Bureau

PRESIDENT

Name Role Address
DANIEL C. DIFFIN MD PRESIDENT 25 WELLS STREET WESTERLY, RI 02891 USA

TREASURER

Name Role Address
MICHAEL C. NILES MD TREASURER 25 WELLS STREET WESTERLY, RI 02891 USA

SECRETARY

Name Role Address
MICHAEL C. NILES MD SECRETARY 25 WELLS STREET WESTERLY, RI 02891 USA

DIRECTOR

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

Agent

Name Role Address
CYNTHIA J. WARREN, ESQ. Agent CAMERON & MITTLEMAN LLP 301 PROMENADE STREET, PROVIDENCE, RI, 02908, USA

Links between entities

Type:
Headquarter of
Company Number:
0545794
State:
CONNECTICUT

National Provider Identifier

NPI Number:
1053386375

Authorized Person:

Name:
DANIEL CHARLES DIFFIN
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
2085R0202X - Diagnostic Radiology Physician
Is Primary:
Yes

Contacts:

Fax:
4015960170

Form 5500 Series

Employer Identification Number (EIN):
050398363
Plan Year:
2009
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2009
Number Of Participants:
6
Sponsors Telephone Number:

Filings

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

USAspending Awards / Contracts

Procurement Instrument Identifier:
N6264506P2068
Award Or Idv Flag:
AWARD
Award Type:
PO
Awarding Agency Name:
Department of Defense
Performance Start Date:
2007-11-21
Description:
RADIOLOGIST @ GROTON, CT
Naics Code:
622110: GENERAL MEDICAL AND SURGICAL HOSPITALS
Product Or Service Code:
Q201: GENERAL HEALTH CARE SERVICES

Date of last update: 17 May 2025

Sources: Rhode Island Department of State