| Name: | RHODE ISLAND PET SERVICES, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 24 Jan 2002 (23 years ago) |
| Identification Number: | 000122685 |
| Principal Address: | 18201 VON KARMAN AVE. SUITE 600, IRVINE, CA, 92612, USA |
| Purpose: | MOBILE PET/CT SERVICES |
NAICS
531190 Lessors of Other Real Estate PropertyThis industry comprises establishments primarily engaged in acting as lessors of real estate (except buildings), such as manufactured home (i.e., mobile home) sites, vacant lots, and grazing land. Learn more at the U.S. Census Bureau
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538113113 | 2006-05-19 | 2023-07-24 | 8300 W SUNRISE BLVD, PLANTATION, FL, 333225406, US | 100 KENYON AVE, WAKEFIELD, RI, 028794216, US | |||||||||||||||||||||||
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| Phone | +1 800-730-0050 |
| Phone | +1 401-312-2454 |
Authorized person
| Name | TONI COOPER |
| Role | DIRECTOR OF CREDENTIALING |
| Phone | 7542066198 |
Taxonomy
| Taxonomy Code | 261QR0208X - Mobile Radiology Clinic/Center |
| License Number | ACF01577 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | RR MEDICARE |
| Number | P00240857 |
| Name | Role | Address |
|---|---|---|
| STEPHEN D. ZUBIAGO, ESQ. | Agent | NIXON PEABODY LLP ONE CITIZENS PLAZA SUITE 500, PROVIDENCE, RI, 02903, USA |
| Name | Role | Address |
|---|---|---|
| STEPHEN ARENA | MANAGER | 18201 VON KARMAN AVE., SUITE 600 IRVINE, CA 92612 USA |
| LOUIS BEAUPARLANT | MANAGER | 18201 VON KARMAN AVE., SUITE 600 IRVINE, CA 92612 USA |
| LENOR DURAND | MANAGER | 18201 VON KARMAN AVE., SUITE 600 IRVINE, CA 92612 USA |
| RUSS LORGEREE | MANAGER | 18201 VON KARMAN AVE., SUITE 600 IRVINE, CA 92612 USA |
| JOSEPH ESPAT | MANAGER | 18201 VON KARMAN AVE., SUITE 600 IRVINE, CA 92612 USA |
| GREGORY A. MERCURIO JR. | MANAGER | 18201 VON KARMAN AVE., SUITE 600 IRVINE, CA 92612 USA |
| JOE SPRATT | MANAGER | 18201 VON KARMAN AVE., SUITE 600 IRVINE, CA 92612 USA |
| JESSE MORSCHING | MANAGER | 18201 VON KARMAN AVE., SUITE 600 IRVINE, CA 92612 USA |
| JAMES TATUM | MANAGER | 18201 VON KARMAN AVE., SUITE 600 IRVINE, CA 92612 USA |
| Number | Name | File Date |
|---|---|---|
| 202452289330 | Annual Report | 2024-04-24 |
| 202333668870 | Annual Report | 2023-04-24 |
| 202215558680 | Annual Report | 2022-04-23 |
| 202103126560 | Annual Report | 2021-10-13 |
| 202067922170 | Annual Report | 2020-10-23 |
| 201922441500 | Annual Report | 2019-10-03 |
| 201877167230 | Annual Report | 2018-09-11 |
| 201750608250 | Annual Report | 2017-09-28 |
| 201610075640 | Annual Report | 2016-10-10 |
| 201580938440 | Annual Report | 2015-09-28 |
Date of last update: 10 Apr 2025
Sources: Rhode Island Department of State
