| Name: | Blackstone Valley Emergency Physician Associates, Professional Corporation |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 11 Apr 2002 (23 years ago) |
| Date of Dissolution: | 20 Oct 2008 (16 years ago) |
| Date of Status Change: | 20 Oct 2008 (16 years ago) |
| Identification Number: | 000124183 |
| ZIP code: | 02915 |
| County: | Providence County |
| Principal Address: | 42-44 HEMINGWAY DRIVE, EAST PROVIDENCE, RI, 02915-, USA |
| Purpose: | TO RENDER SERVICES AS EMERGENCY PHYSICIANS |
| Historical names: |
MBM Medical Billing and Management, Inc. |
| Name | Role | Address |
|---|---|---|
| FATHALLA MASHALI, M.D. | Agent | 42-44 HEMINGWAY DRIVE, EAST PROVIDENCE, RI, 02914, USA |
| Name | Role | Address |
|---|---|---|
| FATHALLA M MASHALI MD | PRESIDENT | 42 HEMINGWAY DRIVE EAST PROVIDENCE, RI 02915- USA |
| Type | Date | Old Value | New Value |
|---|---|---|---|
| Name Change | 2002-07-12 | MBM Medical Billing and Management, Inc. | Blackstone Valley Emergency Physician Associates, Professional Corporation |
| Number | Name | File Date |
|---|---|---|
| 200836645220 | Revocation Certificate For Failure to File the Annual Report for the Year | 2008-10-20 |
| 200813033170 | Revocation Notice For Failure to File An Annual Report | 2008-08-04 |
Date of last update: 09 Oct 2024
Sources: Rhode Island Department of State
