| Name: | RADIATION ONCOLOGY SERVICES OF RHODE ISLAND, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 05 May 2004 (21 years ago) |
| Date of Dissolution: | 30 Jul 2018 (6 years ago) |
| Date of Status Change: | 30 Jul 2018 (6 years ago) |
| Identification Number: | 000139971 |
| ZIP code: | 02806 |
| County: | Bristol County |
| Principal Address: | 89 GOVERNOR BRADFORD RD., BARRINGTON, RI, 02806, USA |
| Purpose: | TO PRACTICE MEDICINE |
| NAICS: | 54 - Professional, Scientific, and Technical Services |
| Fictitious names: |
Maddock Center for Radiation Oncology (trading name, 2005-10-28 - 2015-01-07) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093861858 | 2007-01-26 | 2013-01-10 | 450 TOLL GATE RD, WARWICK, RI, 028862715, US | 450 TOLL GATE RD, WARWICK, RI, 028862715, US | |||||||||||||||||||||||||||||
|
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| Phone | +1 401-732-2300 |
| Fax | 4017383450 |
Authorized person
| Name | MS. LUCY R MADDOCK |
| Role | ADMINISTRATIVE DIRECTOR |
| Phone | 4017322300 |
Taxonomy
| Taxonomy Code | 261QX0203X - Radiation Oncology Clinic/Center |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 9003644 |
| State | RI |
| Issuer | GROUP NPI |
| Number | 1750437448 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| CARL I. FREEDMAN, ESQ. | Agent | ONE PARK ROW SUITE 300, PROVIDENCE, RI, 02903, USA |
| Number | Name | File Date |
|---|---|---|
| 201873281480 | Revocation Certificate For Failure to File the Annual Report for the Year | 2018-07-30 |
| 201865335120 | Revocation Notice For Failure to File An Annual Report | 2018-05-15 |
| 201611248610 | Annual Report | 2016-10-27 |
| 201581314090 | Annual Report | 2015-10-02 |
| 201552847000 | Statement of Abandonment of Use of Fictitious Business Name | 2015-01-07 |
| 201445974130 | Annual Report | 2014-09-15 |
| 201328482710 | Annual Report | 2013-09-23 |
| 201298052850 | Annual Report | 2012-09-17 |
| 201184600950 | Annual Report | 2011-10-28 |
| 201067369950 | Annual Report | 2010-09-17 |
Date of last update: 09 Oct 2024
Sources: Rhode Island Department of State
