Name: | MEDICAL IMAGING ASSOCIATES, INC. |
Jurisdiction: | Rhode Island |
Entity type: | Professional Service Corporation |
Status: | Revoked Entity |
Date of Organization in Rhode Island: | 01 Mar 1985 (40 years ago) |
Date of Dissolution: | 02 Nov 2017 (7 years ago) |
Date of Status Change: | 02 Nov 2017 (7 years ago) |
Identification Number: | 000033441 |
ZIP code: | 02809 |
County: | Bristol County |
Principal Address: | 1182 HOPE STREET, BRISTOL, RI, 02809, USA |
Purpose: | DIAGNOSTIC AND OTHER SERVICES RELATED TO MEDICAL IMAGING |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1497814701 | 2006-12-06 | 2020-08-22 | 1725 MENDON ROAD, SUITE 207, CUMBERLAND, RI, 02864, US | 115 CASS AVENUE, WOONSOCKET, RI, 02895, US | |||||||||||||||||||||
|
Phone | +1 401-334-2423 |
Phone | +1 401-769-4100 |
Authorized person
Name | CHARLES ROSENTHAL |
Role | PRESIDENT |
Phone | 4017660800 |
Taxonomy
Taxonomy Code | 2085R0202X - Diagnostic Radiology Physician |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 9000341 |
State | RI |
Name | Role | Address |
---|---|---|
KAREN G. DELPONTE, ESQ. | Agent | 301 PROMENADE STREET, PROVIDENCE, RI, 02908, USA |
Name | Role | Address |
---|---|---|
CHARLES M. ROSENTHAL, MD | PRESIDENT | 1182 HOPE STREET BRISTOL, RI 02809 USA |
Number | Name | File Date |
---|---|---|
201752746130 | Revocation Certificate For Failure to File the Annual Report for the Year | 2017-11-02 |
201747701100 | Revocation Notice For Failure to File An Annual Report | 2017-07-27 |
201692122960 | Annual Report | 2016-02-08 |
201556676200 | Annual Report | 2015-03-06 |
201436091730 | Annual Report | 2014-02-24 |
201312722770 | Annual Report | 2013-02-25 |
201288891470 | Annual Report | 2012-02-01 |
201174631920 | Annual Report | 2011-02-08 |
201059511260 | Annual Report | 2010-02-24 |
200942832990 | Annual Report | 2009-02-20 |
Date of last update: 06 Oct 2024
Sources: Rhode Island Department of State