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  5. Miriam Cardiology, Inc.

Miriam Cardiology, Inc.

Company Details

Name: Miriam Cardiology, Inc.
Jurisdiction: Rhode Island
Entity type: Domestic Non-Profit Corporation
Status: Dissolved
Date of Organization in Rhode Island: 28 Jun 2004 (21 years ago)
Date of Dissolution: 03 Sep 2013 (11 years ago)
Date of Status Change: 03 Sep 2013 (11 years ago)
Identification Number: 000141172
ZIP code: 02915
County: Providence County
Principal Address: 60 AMARAL STREET, EAST PROVIDENCE, RI, 02915, USA
Purpose: PROVIDING TEACHING SERVICES TO MEDICAL STUDENTS, PARTICIPATE IN CARDIOLOGIC RESEARCH, COORDINATE, OVERSEE AND MONITOR CLINICAL PROGRAMS, PROVIDE MEDICAL SERVICES, PROVIDE ADMINISTRATIVE SERVICES IN HOSPITAL MEDICAL CARE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1477615995 2006-12-14 2020-08-22 208 COLLYER STREET, SUITE 100, PROVIDENCE, RI, 02904, US 208 COLLYER STREET, SUITE 100, PROVIDENCE, RI, 02904, US

Contacts
Phone +1 401-793-7191
Fax 4017937200

Authorized person
Name DR. KENNETH S. KORR
Role MEDICAL DIRECTOR
Phone 4017937191

Taxonomy
Taxonomy Code 207RC0000X - Cardiovascular Disease Physician
License Number MD5815
State RI
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MIRIAM CARDIOLOGY INC DEFINED CONTRIBUTION RETIREMENT PLAN 2013 201299400 2014-06-11 MIRIAM CARDIOLOGY INC 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-11-01
Business code 621111
Sponsor’s telephone number 4012280210
Plan sponsor’s address 60 AMARAL STREET, RIVERSIDE, RI, 02915

Signature of
Role Plan administrator
Date 2014-06-11
Name of individual signing KENNETH KORR
Valid signature Filed with authorized/valid electronic signature
MIRIAM CARDIOLOGY INC DEFINED CONTRIBUTION RETIREMENT PLAN 2012 201299400 2013-07-19 MIRIAM CARDIOLOGY INC 47
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-11-01
Business code 621111
Sponsor’s telephone number 4012280210
Plan sponsor’s address 60 AMARAL STREET, RIVERSIDE, RI, 02915

Signature of
Role Plan administrator
Date 2013-07-19
Name of individual signing MIRIAM KATZ
Valid signature Filed with authorized/valid electronic signature
MIRIAM CARDIOLOGY INC DEFINED CONTRIBUTION RETIREMENT PLAN 2011 201299400 2012-06-26 MIRIAM CARDIOLOGY INC 41
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-11-01
Business code 621111
Sponsor’s telephone number 4012280210
Plan sponsor’s address 60 AMARAL STREET, RIVERSIDE, RI, 02915

Plan administrator’s name and address
Administrator’s EIN 201299400
Plan administrator’s name MIRIAM CARDIOLOGY INC
Plan administrator’s address 60 AMARAL STREET, RIVERSIDE, RI, 02915
Administrator’s telephone number 4012280210

Signature of
Role Plan administrator
Date 2012-06-26
Name of individual signing MIRIAM KATZ
Valid signature Filed with authorized/valid electronic signature
MIRIAM CARDIOLOGY INC DEFINED CONTRIBUTION RETIREMENT PLAN 2010 201299400 2011-06-22 MIRIAM CARDIOLOGY INC 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-11-01
Business code 621111
Sponsor’s telephone number 4012280210
Plan sponsor’s address 60 AMARAL STREET, RIVERSIDE, RI, 02915

Plan administrator’s name and address
Administrator’s EIN 201299400
Plan administrator’s name MIRIAM CARDIOLOGY INC
Plan administrator’s address 60 AMARAL STREET, RIVERSIDE, RI, 02915
Administrator’s telephone number 4012280210

Signature of
Role Plan administrator
Date 2011-06-22
Name of individual signing MIRIAM KATZ
Valid signature Filed with authorized/valid electronic signature
MIRIAM CARDIOLOGY INC DEFINED CONTRIBUTION RETIREMENT PLAN 2009 201299400 2010-07-14 MIRIAM CARDIOLOGY INC 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-11-01
Business code 621111
Sponsor’s telephone number 4012280210
Plan sponsor’s address 60 AMARAL STREET, RIVERSIDE, RI, 02915

Plan administrator’s name and address
Administrator’s EIN 201299400
Plan administrator’s name MIRIAM CARDIOLOGY INC
Plan administrator’s address 60 AMARAL STREET, RIVERSIDE, RI, 02915
Administrator’s telephone number 4012280210

Signature of
Role Plan administrator
Date 2010-07-14
Name of individual signing MIRIAM KATZ
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
STEPHEN D. ZUBIAGO, ESQ. Agent NIXON PEABODY LLP ONE CITIZENS PLAZA SUITE 500, PROVIDENCE, RI, 02903, USA

PRESIDENT

Name Role Address
KENNETH S KORR MD PRESIDENT 164 SUMMIT AVENUE PROVIDENCE, RI - USA

DIRECTOR

Name Role Address
PAUL GORDON DIRECTOR 164 SUMMIT AVE PROVIDENCE, RI 02906 USA

Filings

Number Name File Date
201327552450 Articles of Dissolution 2013-09-03
201325114560 Annual Report 2013-06-27
201293697830 Annual Report 2012-06-05
201180215310 Annual Report 2011-06-16
201062794180 Annual Report 2010-06-04
200946734560 Annual Report 2009-06-17
200812350340 Annual Report 2008-06-27

Related by officers

STEPHEN D. ZUBIAGO, ESQ.

Nicholas A. Califano, M.D., Inc. CARDIOLOGY ASSOCIATES, INC. MIRIAM IPA, INC. ORTHOPEDIC GROUP, INC. Bayside Endoscopy Group, Inc. Mobile Storage Inc. H & H TRUCKING INC. MIRIAM PHO, INC. Bayside OB-GYN, Inc. West Bay Orthopaedics and Neurosurgery, Inc.

Related by address

60 AMARAL STREET, EAST PROVIDENCE, RI, 02915, USA

J&K Imaging, Inc.

Date of last update: 09 Oct 2024

Sources: Rhode Island Department of State

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