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South County Cardiology Associates, Inc.

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Company Details

Name: South County Cardiology Associates, Inc.
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Dissolved
Date of Organization in Rhode Island: 07 Feb 1990 (35 years ago)
Date of Dissolution: 20 Jan 2015 (11 years ago)
Date of Status Change: 20 Jan 2015 (11 years ago)
Identification Number: 000059291
ZIP code: 02879
City: Wakefield
County: Washington County
Purpose: MEDICAL PRACTICE IN CARDIOLOGY
Principal Address: Google Maps Logo 70 KENYON AVENUE, WAKEFIELD, RI, 02879, USA

Agent

Name Role Address
RICAHRD B. CARPENTER Agent 20 MAIN STREET P.O. BOX 903, NORTH KINGSTOWN, RI, 02852, USA

PRESIDENT

Name Role Address
DAVID BADER PRESIDENT 70 KENYON AVE WAKEFIELD, RI 02879 USA

TREASURER

Name Role Address
DAVID BADER TREASURER 70 KENYON AVE WAKEFIELD, RI 02879 USA

SECRETARY

Name Role Address
DAVID BROZA SECRETARY 70 KENYON AVE WAKEFIELD, RI 02879 USA

VICE PRESIDENT

Name Role Address
NEIL BRANDON VICE PRESIDENT 70 KENYON AVE WAKEFIELD, RI 02879 USA

National Provider Identifier

NPI Number:
1891895090

Authorized Person:

Name:
LISA M POISSON
Role:
PRACTICE ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
207RC0000X - Cardiovascular Disease Physician
Is Primary:
Yes

Contacts:

Fax:
4012947291

Form 5500 Series

Employer Identification Number (EIN):
050452097
Plan Year:
2009
Number Of Participants:
31
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
DAVID BADER(Plan administrator)

Filings

Number Name File Date
201553929930 Articles of Dissolution 2015-01-20
201447120580 Annual Report 2014-10-03
201439411300 Revocation Notice For Failure to File An Annual Report 2014-05-20
201307494350 Annual Report 2013-01-07
201289724290 Annual Report 2012-02-16

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Date of last update: 20 Jul 2025

Sources: Rhode Island Department of State