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Brain Mapping and Computerized Neurophsiology Laboratory, Inc.

Company Details

Name: Brain Mapping and Computerized Neurophsiology Laboratory, Inc.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Dissolved
Date of Organization in Rhode Island: 05 Jul 1989 (36 years ago)
Date of Dissolution: 03 Jan 2025 (5 months ago)
Date of Status Change: 03 Jan 2025 (5 months ago)
Identification Number: 000056596
ZIP code: 02904
County: Providence County
Purpose: PRACTICE OF MEDICINE
Fictitious names: ADHD Center of New England (trading name, 2009-12-01 - )
Principal Address: Google Maps Logo 1 RANDALL SQUARE SUITE 409, PROVIDENCE, RI, 02904, USA

Industry & Business Activity

NAICS

621511 Medical Laboratories

This U.S. industry comprises establishments known as medical laboratories primarily engaged in providing analytic or diagnostic services, including body fluid analysis, generally to the medical profession or to the patient on referral from a health practitioner. Learn more at the U.S. Census Bureau

Agent

Name Role Address
DAVID N. BAZAR, ESQ. Agent 197 TAUNTON AVENUE SUITE 202, EAST PROVIDENCE, RI, 02914, USA

TREASURER

Name Role Address
JEFFREY WISHIK M.D. TREASURER ONE RANDALL SQUARE, SUITE 409 PROVIDENCE, RI 02904 USA

SECRETARY

Name Role Address
DAVID N. BAZAR ESQ. SECRETARY 197 TAUNTON AVENUE EAST PROVIDENCE, RI 02914 USA

PRESIDENT

Name Role Address
JEFFREY WISHIK MD PRESIDENT ONE RANDALL SQUARE, SUITE 409 PROVIDENCE, RI 02904 USA

DIRECTOR

Name Role Address
JEFFREY WISHIK M.D. DIRECTOR ONE RANDALL SQUARE, SUITE 409 PROVIDENCE, RI 02904 USA

National Provider Identifier

NPI Number:
1720136419

Authorized Person:

Name:
DR. JEFFREY M WISHIK
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
293D00000X - Physiological Laboratory
Is Primary:
Yes

Contacts:

Fax:
4012742130

Filings

Number Name File Date
202448666020 Annual Report 2024-03-15
202329866020 Annual Report 2023-03-03
202212653090 Annual Report 2022-03-11
202187503110 Annual Report 2021-01-21
202036062650 Statement of Change of Registered/Resident Agent 2020-03-09

Date of last update: 18 May 2025

Sources: Rhode Island Department of State