Name: | Rhode Island Sleep Diagnostics, Inc. |
Jurisdiction: | Rhode Island |
Entity type: | Domestic Profit Corporation |
Status: | Revoked Entity |
Date of Organization in Rhode Island: | 22 May 2003 (22 years ago) |
Date of Dissolution: | 12 Oct 2022 (3 years ago) |
Date of Status Change: | 12 Oct 2022 (3 years ago) |
Identification Number: | 000132235 |
ZIP code: | 02886 |
County: | Kent County |
Principal Address: | 215 TOLL GATE ROAD, WARWICK, RI, 02886, USA |
Purpose: | TO ENGAGE IN THE PROFESSION OF MEDICINE AND PROVIDING PHYSICIAN SERVICES |
Fictitious names: |
Rhode Island Sleep Institute, Inc. (trading name, 2005-05-23 - ) |
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 | |||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1194077198 | 2012-10-15 | 2015-02-19 | 215 TOLL GATE RD STE 301, WARWICK, RI, 028864462, US | 215 TOLL GATE RD STE 301, WARWICK, RI, 028864462, US | |||||||||||||||||||||||||||||||||||
|
Phone | +1 401-732-1508 |
Fax | 4017321592 |
Authorized person
Name | DR. STEPHEN L. MATARESE |
Role | MEDICAL DIRECTOR/OWNER |
Phone | 4017321508 |
Taxonomy
Taxonomy Code | 207RS0012X - Sleep Medicine (Internal Medicine) Physician |
License Number | DO 00355 |
State | RI |
Is Primary | Yes |
Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
License Number | DO 0355 |
State | RI |
Is Primary | No |
Taxonomy Code | 332BX2000X - Oxygen Equipment & Supplies (DME) |
License Number | DO 00355 |
State | RI |
Is Primary | No |
Name | Role | Address |
---|---|---|
JONATHAN V. KALANDER, ESQ. | Agent | 931 JEFFERSON BOULEVARD SUITE 2004, WARWICK, RI, 02886, USA |
Name | Role | Address |
---|---|---|
STEPHEN L. MATARESE, DO | TREASURER | 2250 BOSTON NECK ROAD SAUNDERSTOWN, RI 02874 USA |
Name | Role | Address |
---|---|---|
STEPHEN L. MATARESE, DO | SECRETARY | 2250 BOSTON NECK ROAD SAUNDERSTOWN, RI 02874 USA |
Name | Role | Address |
---|---|---|
STEPHEN L MATARESE DO | PRESIDENT | 2250 BOSTON NECK ROAD SAUNDERSTOWN, RI 02874- USA |
Name | Role | Address |
---|---|---|
STEPHEN L. MATARESE, DO | VICE PRESIDENT | 2250 BOSTON NECK ROAD SAUNDERSTOWN, RI 02874 USA |
Number | Name | File Date |
---|---|---|
202223897210 | Revocation Certificate For Failure to File the Annual Report for the Year | 2022-10-12 |
202220074290 | Revocation Notice For Failure to File An Annual Report | 2022-06-27 |
202194832490 | Annual Report | 2021-03-23 |
202036488720 | Annual Report | 2020-03-18 |
201988722470 | Annual Report | 2019-03-15 |
201861178000 | Annual Report | 2018-03-29 |
201734821930 | Annual Report | 2017-02-27 |
201695356740 | Annual Report | 2016-03-29 |
201558474750 | Annual Report | 2015-04-10 |
201440682670 | Annual Report | 2014-06-06 |
Date of last update: 11 Apr 2025
Sources: Rhode Island Department of State