| Name: | COVENTRY IMAGING ASSOCIATES, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 12 Nov 2003 (21 years ago) |
| Date of Dissolution: | 27 Jun 2017 (8 years ago) |
| Date of Status Change: | 27 Jun 2017 (8 years ago) |
| Identification Number: | 000136019 |
| ZIP code: | 02816 |
| County: | Kent County |
| Principal Address: | 71 SANDY BOTTOM ROAD, COVENTRY, RI, 02816, USA |
| Purpose: | TO PERFORM X-RAY SERVICES |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538220694 | 2006-12-13 | 2020-08-22 | 1725 MENDON ROAD, SUITE 207, CUMBERLAND, RI, 02864, US | 71 SANDY BOTTOM ROAD, COVENTRY, RI, 02816, US | |||||||||||||||||||||
|
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| Phone | +1 401-334-2423 |
| Phone | +1 401-822-8700 |
Authorized person
| Name | CHARLES ROSENTHAL |
| Role | PRESIDENT |
| Phone | 4018228700 |
Taxonomy
| Taxonomy Code | 2085R0202X - Diagnostic Radiology Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 9004730 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| NICHOLAS D. IANNUCCILLI, MD | Agent | 71 SANDY BOTTOM ROAD, COVENTRY, RI, 02816, USA |
| Name | Role | Address |
|---|---|---|
| NICHOLAS D. IANNUCCILLI, M.D. | Manager | 71 SANDY BOTTOM ROAD COVENTRY, RI 02816 USA |
| Number | Name | File Date |
|---|---|---|
| 201747668700 | Miscellaneous Filing (No Fee) | 2017-07-26 |
| 201746267580 | Revocation Certificate For Failure to File the Annual Report for the Year | 2017-06-27 |
| 201741629220 | Registered Office Not Maintained | 2017-04-17 |
| 201739936710 | Revocation Notice For Failure to File An Annual Report | 2017-04-06 |
| 201576925050 | Annual Report | 2015-08-31 |
| 201446528710 | Annual Report | 2014-09-23 |
| 201327459290 | Annual Report | 2013-08-28 |
| 201296152480 | Annual Report | 2012-08-15 |
| 201181419230 | Annual Report | 2011-08-09 |
| 201174777150 | Statement of Change of Registered/Resident Agent Office | 2011-02-11 |
Date of last update: 09 Oct 2024
Sources: Rhode Island Department of State
