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Blackstone Valley Pediatric & Adolescent Medicine, PC.

Company Details

Name: Blackstone Valley Pediatric & Adolescent Medicine, PC.
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Activ
Date of Organization in Rhode Island: 03 Nov 1995 (30 years ago)
Identification Number: 000086739
ZIP code: 02864
County: Providence County
Purpose: TO PROVIDE MEDICAL SERVICES AND ACTIVITIES RELATED THERETO.
Fictitious names: Blackstone Valley Pediatric & Adolescent Medicine (trading name, 2009-12-03 - 2017-10-19)
Historical names: Peter T. Yasigian, M.D., Professional Corporation
Principal Address: Google Maps Logo 2 MEEHAN LANE, CUMBERLAND, RI, 02864, USA

Industry & Business Activity

NAICS

541990 All Other Professional, Scientific, and Technical Services

This industry comprises establishments primarily engaged in the provision of professional, scientific, or technical services (except legal services; accounting, tax preparation, bookkeeping, and related services; architectural, engineering, and related services; specialized design services; computer systems design and related services; management, scientific, and technical consulting services; scientific research and development services; advertising, public relations, and related services; market research and public opinion polling; photographic services; translation and interpretation services; and veterinary services). Learn more at the U.S. Census Bureau

Agent

Name Role Address
MARLENE B MARSHALL, ESQ. Agent 655 MENDON ROAD, CUMBERLAND, RI, 02864, USA

PRESIDENT

Name Role Address
MAUREEN A. CROTTY, MD PRESIDENT 2 MEEHAN LANE CUMBERLAND, RI 02864 USA

TREASURER

Name Role Address
ALEXANDER LEE, MD TREASURER 2 MEEHAN LANE CUMBERLAND, RI 02864 USA

SECRETARY

Name Role Address
MAUREEN A. CROTTY, MD SECRETARY 2 MEEHAN LANE CUMBERLAND, RI 02864 USA

VICE PRESIDENT

Name Role Address
ALEXANDER LEE, MD VICE PRESIDENT 2 MEEHAN LANE CUMBERLAND, RI 02864 USA

Form 5500 Series

Employer Identification Number (EIN):
050487191
Plan Year:
2016
Number Of Participants:
22
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
19
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
19
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
17
Sponsors Telephone Number:
Plan Year:
2012
Number Of Participants:
18
Sponsors Telephone Number:

Events

Type Date Old Value New Value
Name Change 2017-10-19 Peter T. Yasigian, M.D., Professional Corporation Blackstone Valley Pediatric & Adolescent Medicine, PC.

Filings

Number Name File Date
202450590230 Annual Report 2024-04-08
202340791000 Statement of Change of Registered Office by the Registered Agent 2023-09-05
202333543230 Annual Report 2023-04-20
202223091320 Statement of Change of Registered/Resident Agent 2022-09-29
202217943060 Annual Report 2022-05-29

Date of last update: 19 May 2025

Sources: Rhode Island Department of State