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ROGER WILLIAMS RADIATION THERAPY, LLC

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Company Details

Name: ROGER WILLIAMS RADIATION THERAPY, LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Revocation
Date of Organization in Rhode Island: 09 Jun 2005 (20 years ago)
Date of Dissolution: 16 Jun 2025 (a month ago)
Date of Status Change: 16 Jun 2025 (a month ago)
Identification Number: 000148567
ZIP code: 02919
City: Johnston
County: Providence County
Purpose: HEALTHCARE SERVICE PROVIDER
Fictitious names: Precision Radiation Oncology of Rhode Island-Providence (trading name, 2024-05-09 - )
Principal Address: Google Maps Logo 115 CASS AVENUE, WOONSOCKET, RI, 02919, USA

Industry & Business Activity

NAICS

621111 Offices of Physicians (except Mental Health Specialists)

This U.S. industry comprises establishments of health practitioners having the degree of M.D. (Doctor of Medicine) or D.O. (Doctor of Osteopathy) primarily engaged in the independent practice of general or specialized medicine (except psychiatry or psychoanalysis) or surgery. 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
CORPORATION SERVICE COMPANY Agent 222 JEFFERSON BOULEVARD SUITE 200, WARWICK, RI, 02888, USA

MANAGER

Name Role Address
JIM BURKE MANAGER 2270 COLONIAL BOULEVARD FORT MYERS, FL 33907 USA
FRANK SAIDARA MANAGER 2270 COLONIAL BOULEVARD FORT MYERS, FL 33907 USA
CHARLES POWELL MANAGER 2270 COLONIAL BOULEVARD FORT MYERS, FL 33907 USA
JOSPEH IANONNE MANAGER 2270 COLONIAL BOULEVARD FORT MYERS, FL 33907 USA
JOSEPH ESPAT MD MANAGER 2270 COLONIAL BOULEVARD FORT MYERS, FL 33907 USA
JOHN HOLIVER MANAGER 2270 COLONIAL BOULEVARD FORT MYERS, FL 33907 USA
ALDO ROLFO MANAGER 2270 COLONIAL BOULEVARD FORT MYERS, FL 33907 USA
KEITH HANSEN MANAGER 2270 COLONIAL BOULEVARD FORT MYERS, FL 33907 USA
ROBERT LEGARE MD MANAGER 2270 COLONIAL BOULEVARD FORT MYERS, FL 33907 USA

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
TKFPX92NWVP7
CAGE Code:
4JVQ0
UEI Expiration Date:
2025-01-17

Business Information

Activation Date:
2024-01-22
Initial Registration Date:
2012-03-21

National Provider Identifier

NPI Number:
1013078450
Certification Date:
2024-11-19

Authorized Person:

Name:
ROBERT L HIATT
Role:
CFO
Phone:

Taxonomy:

Selected Taxonomy:
2085R0001X - Radiation Oncology Physician
Is Primary:
Yes

Contacts:

Fax:
4014566540

Filings

Number Name File Date
202455322520 Annual Report - Amended 2024-06-05
202454965980 Annual Report - Amended 2024-05-29
202454131060 Fictitious Business Name Statement 2024-05-09
202453368250 Annual Report 2024-04-30
202334563750 Annual Report 2023-04-28

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Date of last update: 11 Jul 2025

Sources: Rhode Island Department of State