| 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 (2 years ago) |
| Date of Status Change: | 12 Oct 2022 (2 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 |
| NAICS: | 621111 - Offices of Physicians (except Mental Health Specialists) |
| Fictitious names: |
Rhode Island Sleep Institute, Inc. (trading name, 2005-05-23 - ) |
| 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: 09 Oct 2024
Sources: Rhode Island Department of State
