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PROVIDENCE UROLOGY, LLC

Company Details

Name: PROVIDENCE UROLOGY, LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Dissolved
Date of Organization in Rhode Island: 27 Jan 2004 (21 years ago)
Date of Dissolution: 01 Dec 2017 (8 years ago)
Date of Status Change: 01 Dec 2017 (8 years ago)
Identification Number: 000137693
ZIP code: 02904
County: Providence County
Purpose: PROVIDE MEDICAL SERVICES SPECIALIZING IN UROLOGY
Principal Address: Google Maps Logo 827 NORTH MAIN STREET SUITE 4, PROVIDENCE, RI, 02904, USA

Industry & Business Activity

NAICS

621399 Offices of All Other Miscellaneous Health Practitioners

This U.S. industry comprises establishments of independent health practitioners (except physicians; dentists; chiropractors; optometrists; mental health specialists; physical, occupational, and speech therapists; audiologists; and podiatrists). 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

Agent

Name Role Address
E. COLBY CAMERON, ESQ. Agent 301 PROMENADE STREET, PROVIDENCE, RI, 02908, USA

National Provider Identifier

NPI Number:
1255386868

Authorized Person:

Name:
HARRY M IANNOTTI
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
208800000X - Urology Physician
Is Primary:
Yes

Contacts:

Fax:
5084386368
Fax:
4015214377

Form 5500 Series

Employer Identification Number (EIN):
200646820
Plan Year:
2018
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
6
Sponsors Telephone Number:

Filings

Number Name File Date
201754411360 Articles of Dissolution 2017-12-01
201753073730 Annual Report 2017-11-07
201611861440 Annual Report 2016-11-08
201586496250 Annual Report 2015-10-29
201448993750 Annual Report 2014-10-28

Date of last update: 21 May 2025

Sources: Rhode Island Department of State