| 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 Property |
| 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 | |||||||||||||||||||||||
|
|||||||||||||||||||||||||||
| 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 |
| JESSE MORSCHING | MANAGER | 18201 VON KARMAN AVE., SUITE 600 IRVINE, CA 92612 USA |
| JOE SPRATT | 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: 09 Oct 2024
Sources: Rhode Island Department of State
