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SHORELINE NEPHROLOGY ASSOCIATES, INC.

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Company Details

Name: SHORELINE NEPHROLOGY ASSOCIATES, INC.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Dissolved
Date of Organization in Rhode Island: 01 Sep 1994 (31 years ago)
Date of Dissolution: 27 Dec 2016 (8 years ago)
Date of Status Change: 27 Dec 2016 (8 years ago)
Identification Number: 000081054
ZIP code: 02891
County: Washington County
Purpose: ENGAGING IN THE PRACTICE OF MEDICINE.
Principal Address: Google Maps Logo 17 WELLS STREET SUITE 202 SUITE 202, WESTERLY, RI, 02891, USA

Agent

Name Role Address
ROBERT M. SERRA Agent 17 WELLS STREET, WESTERLY, RI, 02891, USA

PRESIDENT

Name Role Address
MARK JOSEPH MANCINI MD PRESIDENT 17 WELLS STREET WESTERLY, RI 02891 USA

National Provider Identifier

NPI Number:
1770665424

Authorized Person:

Name:
MARK J MANCINI
Role:
VICE PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207RN0300X - Nephrology Physician
Is Primary:
Yes

Contacts:

Fax:
4015962650

Form 5500 Series

Employer Identification Number (EIN):
050479724
Plan Year:
2013
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2012
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
9
Sponsors Telephone Number:

Filings

Number Name File Date
201629152060 Articles of Dissolution 2016-12-27
201589734700 Annual Report 2015-12-26
201552941140 Annual Report 2015-01-07
201432291080 Annual Report 2014-01-02
201309756690 Annual Report 2013-01-14

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Date of last update: 11 Jun 2025

Sources: Rhode Island Department of State