Name: | AXIOM OCCUPATIONAL HEALTH, LLC |
Jurisdiction: | Rhode Island |
Entity type: | Domestic Limited Liability Company |
Status: | Activ |
Date of Organization in Rhode Island: | 26 Aug 2005 (19 years ago) |
Identification Number: | 000150232 |
ZIP code: | 02860 |
County: | Providence County |
Principal Address: | 67 PARK PLACE, PAWTUCKET, RI, 02860, USA |
Purpose: | TO PRACTICE OCCUPATIONAL MEDICINE AND TO DO ANY AND ALL ACTS OR THINGS NECESSARY TO ACCOMPLISH SAME |
NAICS: | 621111 - Offices of Physicians (except Mental Health Specialists) |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1548313059 | 2007-01-19 | 2020-08-22 | 100 SMITHFIELD AVE, SUITE X, PAWTUCKET, RI, 028603497, US | 100 SMITHFIELD AVE, SUITE X, PAWTUCKET, RI, 028603497, US | |||||||||||||||||||
|
Phone | +1 401-312-0545 |
Fax | 4017258064 |
Authorized person
Name | STEVEN GEORGE MCCLOY |
Role | MEDICAL DIRECTOR |
Phone | 4013120545 |
Taxonomy
Taxonomy Code | 261QX0100X - Occupational Medicine Clinic/Center |
License Number | 05160 |
State | RI |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
BRUCE A. WOLPERT, ESQ. | Agent | 235 PROMENADE STREET SUITE 475, PROVIDENCE, RI, 02908, USA |
Number | Name | File Date |
---|---|---|
202447176610 | Annual Report | 2024-02-26 |
202329794440 | Annual Report | 2023-03-02 |
202222503860 | Statement of Change of Registered/Resident Agent Office | 2022-08-26 |
202214539860 | Annual Report | 2022-04-12 |
202102318920 | Annual Report | 2021-09-29 |
202061992160 | Annual Report | 2020-10-07 |
201918732740 | Annual Report | 2019-09-10 |
201878278520 | Annual Report | 2018-09-26 |
201750336090 | Annual Report | 2017-09-22 |
201609386010 | Annual Report | 2016-09-23 |
Date of last update: 09 Oct 2024
Sources: Rhode Island Department of State