| Name: | WAKEFIELD PEDIATRICS, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 30 Apr 2003 (22 years ago) |
| Identification Number: | 000131657 |
| ZIP code: | 02879 |
| County: | Washington County |
| Principal Address: | 46 HOLLEY STREET, WAKEFIELD, RI, 02879, USA |
| Purpose: | PEDIATRIC MEDICAL PRACTICE |
NAICS
621111 Offices of Physicians (except Mental Health Specialists)This U.S. industry comprises establishments of health practitioners having the degree of M.D. (Doctor of Medicine) or D.O. (Doctor of Osteopathy) primarily engaged in the independent practice of general or specialized medicine (except psychiatry or psychoanalysis) or surgery. These practitioners operate private or group practices in their own offices (e.g., centers, clinics) or in the facilities of others, such as hospitals or HMO medical centers. Learn more at the U.S. Census Bureau
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013015791 | 2006-09-20 | 2020-08-22 | 46 HOLLEY ST, SUITE 2, WAKEFIELD, RI, 028793325, US | 46 HOLLEY ST, SUITE 2, WAKEFIELD, RI, 028793325, US | |||||||||||||||
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| Phone | +1 401-783-8008 |
| Fax | 4017838156 |
Authorized person
| Name | DR. LAUREN C. NOEL |
| Role | LLC MEMBER |
| Phone | 4017838008 |
Taxonomy
| Taxonomy Code | 2080A0000X - Pediatric Adolescent Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MARGARET L. HOGAN, ESQ. | Agent | 128 AUBURN DRIVE, CHARLESTOWN, RI, 02813, USA |
| Number | Name | File Date |
|---|---|---|
| 202453160610 | Annual Report | 2024-04-30 |
| 202333026490 | Annual Report | 2023-04-15 |
| 202214946000 | Annual Report | 2022-04-16 |
| 202104369290 | Annual Report | 2021-11-01 |
| 202063059320 | Annual Report | 2020-10-09 |
| 201921859180 | Annual Report | 2019-09-30 |
| 201883135230 | Annual Report | 2018-12-24 |
| 201883135140 | Reinstatement | 2018-12-24 |
| 201883135780 | Annual Report | 2018-12-24 |
| 201873275650 | Revocation Certificate For Failure to File the Annual Report for the Year | 2018-07-30 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 4347908509 | 2021-02-25 | 0165 | PPS | 46 Holley St, Wakefield, RI, 02879-3326 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 3007377105 | 2020-04-11 | 0165 | PPP | 46 Holley Street, WAKEFIELD, RI, 02879-3300 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 10 Apr 2025
Sources: Rhode Island Department of State
