| Name: | Rhode Island Medical Imaging, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 27 Dec 1968 (56 years ago) |
| Identification Number: | 000017852 |
| ZIP code: | 02886 |
| County: | Kent County |
| Principal Address: | 125 METRO CENTER BOULEVARD SUITE 2000, WARWICK, RI, 02886, USA |
| Purpose: | PROFESSIONAL MEDICAL PRACTICE |
| NAICS: | 621512 - Diagnostic Imaging Centers |
| Fictitious names: |
RIMI (trading name, 2019-09-03 - ) RHODE ISLAND MEDICAL IMAGING Breast Imaging Center (trading name, 2019-09-03 - ) THE VEIN INSTITUTE AT RHODE ISLAND MEDICAL IMAGING (trading name, 2019-09-03 - ) Rhode Island Interventional Radiology (trading name, 2003-08-13 - ) Rhode Island Vascular & Interventional Radiology (trading name, 2003-08-13 - 2019-09-04) Rhode Island Vascular Institute (trading name, 2003-08-13 - 2019-09-04) Rhode Island Medical Imaging/Diagnostic Radiology,Inc. (trading name, 1998-01-23 - ) |
| Historical names: |
RAY MEDICAL SERVICES, INC. R.I. MEDICAL IMAGING, INC. |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942376033 | 2006-11-28 | 2022-06-21 | 125 METRO CENTER BLVD STE 2000, WARWICK, RI, 028861785, US | 593 EDDY ST, PROVIDENCE, RI, 029034923, US | |||||||||||||||||||||||||||||||
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| Phone | +1 401-432-2500 |
| Fax | 4014322457 |
| Phone | +1 401-444-5174 |
Authorized person
| Name | JOANN BARBATO |
| Role | EXECUTIVE DIRECTOR |
| Phone | 4014322500 |
Taxonomy
| Taxonomy Code | 2085R0202X - Diagnostic Radiology Physician |
| State | RI |
| Is Primary | Yes |
| Taxonomy Code | 2085R0202X - Diagnostic Radiology Physician |
| State | MA |
| Is Primary | No |
| Taxonomy Code | 2085R0204X - Vascular & Interventional Radiology Physician |
| State | RI |
| Is Primary | No |
| LEI number | Registered As | Jurisdiction Of Formation | General Category | Entity Status | Entity created at | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 549300LMBUP8DX3J1370 | 000017852 | US-RI | GENERAL | ACTIVE | 1968-12-26 | |||||||||||||||||||
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| Legal | CHACE RUTTENBERG & FREEDMAN, LLP ONE PARK ROW - SUITE 300, PROVIDENCE, US-RI, US, 02903 |
| Headquarters | 125 Metro Center Blvd, Warwick, US-RI, US, 02886 |
Registration details
| Registration Date | 2015-12-04 |
| Last Update | 2024-05-30 |
| Status | LAPSED |
| Next Renewal | 2024-05-30 |
| LEI Issuer | 5493001KJTIIGC8Y1R12 |
| Corroboration Level | FULLY_CORROBORATED |
| Data Validated As | 000017852 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RHODE ISLAND MEDICAL IMAGING, INC PREMIUM CONVERSION PLAN | 2010 | 050318025 | 2011-10-27 | RHODE ISLAND MEDICAL IMAGING, INC | 207 | |||||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 050318025 |
| Plan administrator’s name | RHODE ISLAND MEDICAL IMAGING, INC |
| Plan administrator’s address | 20 CATAMORE BOULEVARD, EAST PROVIDENCE, RI, 02914 |
| Administrator’s telephone number | 4014322520 |
Number of participants as of the end of the plan year
| Active participants | 210 |
Signature of
| Role | Plan administrator |
| Date | 2011-10-26 |
| Name of individual signing | WAYNE ARRUDA |
| Valid signature | Filed with authorized/valid electronic signature |
| Three-digit plan number (PN) | 501 |
| Effective date of plan | 1994-04-01 |
| Business code | 621510 |
| Sponsor’s telephone number | 4014322520 |
| Plan sponsor’s mailing address | 20 CATAMORE BOULEVARD, EAST PROVIDENCE, RI, 02914 |
| Plan sponsor’s address | 20 CATAMORE BOULEVARD, EAST PROVIDENCE, RI, 02914 |
Plan administrator’s name and address
| Administrator’s EIN | 050318025 |
| Plan administrator’s name | RHODE ISLAND MEDICAL IMAGING, INC |
| Plan administrator’s address | 20 CATAMORE BOULEVARD, EAST PROVIDENCE, RI, 02914 |
| Administrator’s telephone number | 4014322520 |
Number of participants as of the end of the plan year
| Active participants | 207 |
Signature of
| Role | Plan administrator |
| Date | 2011-01-05 |
| Name of individual signing | WAYNE ARRUDA |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 501 |
| Effective date of plan | 1994-04-01 |
| Business code | 621510 |
| Sponsor’s telephone number | 4014322520 |
| Plan sponsor’s mailing address | 20 CATAMORE BOULEVARD, EAST PROVIDENCE, RI, 02914 |
| Plan sponsor’s address | 20 CATAMORE BOULEVARD, EAST PROVIDENCE, RI, 02914 |
Plan administrator’s name and address
| Administrator’s EIN | 050318025 |
| Plan administrator’s name | RHODE ISLAND MEDICAL IMAGING, INC |
| Plan administrator’s address | 20 CATAMORE BOULEVARD, EAST PROVIDENCE, RI, 02914 |
| Administrator’s telephone number | 4014322520 |
Number of participants as of the end of the plan year
| Active participants | 207 |
Signature of
| Role | Plan administrator |
| Date | 2011-01-05 |
| Name of individual signing | WAYNE ARRUDA |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| DON E. WINEBERG | Agent | CHACE RUTTENBERG & FREEDMAN LLP ONE PARK ROW SUITE 300, PROVIDENCE, RI, 02903, USA |
| Name | Role | Address |
|---|---|---|
| JOHN A. PEZZULLO, III MD | PRESIDENT | 125 METRO CENTER BLVD., STE. 2000 WARWICK, RI 02886 USA |
| Type | Date | Old Value | New Value |
|---|---|---|---|
| Merged | 2021-12-31 | Orthopedic MRI of Rhode Island, LLC on | Rhode Island Medical Imaging, Inc. |
| Merged | 1998-01-23 | Diagnostic Radiology, Inc. on | Rhode Island Medical Imaging, Inc. |
| Name Change | 1994-11-22 | R.I. MEDICAL IMAGING, INC. | Rhode Island Medical Imaging, Inc. |
| Name Change | 1986-08-13 | RAY MEDICAL SERVICES, INC. | R.I. MEDICAL IMAGING, INC. |
| Number | Name | File Date |
|---|---|---|
| 202448305000 | Annual Report | 2024-03-07 |
| 202340044070 | Annual Report - Amended | 2023-07-31 |
| 202330008930 | Annual Report | 2023-03-03 |
| 202213659000 | Annual Report | 2022-03-24 |
| 202107481700 | Articles of Merger | 2021-12-29 |
| 202107495040 | Articles of Merger | 2021-12-29 |
| 202193310980 | Annual Report | 2021-02-26 |
| 202032976690 | Annual Report | 2020-01-22 |
| 201917344430 | Statement of Abandonment of Use of Fictitious Business Name | 2019-09-04 |
| 201917342850 | Statement of Abandonment of Use of Fictitious Business Name | 2019-09-04 |
Date of last update: 06 Oct 2024
Sources: Rhode Island Department of State
