| Name: | Leah F. Adams, M.D., Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 28 Oct 1998 (26 years ago) |
| Date of Dissolution: | 29 Jul 2021 (3 years ago) |
| Date of Status Change: | 29 Jul 2021 (3 years ago) |
| Identification Number: | 000103185 |
| ZIP code: | 02914 |
| County: | Providence County |
| Principal Address: | 400 WARREN AVENUE SUITE 2L, EAST PROVIDENCE, RI, 02914, USA |
| Purpose: | TO PROVIDE MEDICAL SERVICES. |
| NAICS: | 621111 - Offices of Physicians (except Mental Health Specialists) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174770812 | 2008-08-25 | 2020-12-16 | 2 PHENIX RIDGE DR, CRANSTON, RI, 029211522, US | 2 PHENIX RIDGE DR, CRANSTON, RI, 029211522, US | |||||||||||||||||||
|
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| Phone | +1 401-441-7665 |
| Fax | 4013834698 |
Authorized person
| Name | LEAH F. ADAMS |
| Role | PRESIDENT |
| Phone | 4014417665 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | MD09931 |
| State | RI |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| TAMMY A. BOTTELLA | Agent | 255 QUAKER LANE SUITE 600, WEST WARWICK, RI, 02893, USA |
| Name | Role | Address |
|---|---|---|
| LEAH F ADAMS MD | PRESIDENT | 400 WARREN AVENUE, STE 2L EAST PROVIDENCE, RI 02914 USA |
| Number | Name | File Date |
|---|---|---|
| 202199643730 | Revocation Certificate For Failure to File the Annual Report for the Year | 2021-07-29 |
| 202196788920 | Revocation Notice For Failure to File An Annual Report | 2021-05-19 |
| 202037485980 | Annual Report | 2020-04-13 |
| 201988147020 | Annual Report | 2019-03-04 |
| 201859395150 | Annual Report | 2018-02-28 |
| 201737277220 | Annual Report | 2017-02-24 |
| 201693536450 | Annual Report | 2016-03-01 |
| 201557869980 | Annual Report | 2015-03-20 |
| 201437875320 | Annual Report | 2014-03-28 |
| 201314262300 | Annual Report | 2013-03-21 |
Date of last update: 08 Oct 2024
Sources: Rhode Island Department of State
