| Name: | RADIOSURGERY CENTER OF RHODE ISLAND, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 27 Nov 2006 (18 years ago) |
| Identification Number: | 000160045 |
| ZIP code: | 02903 |
| County: | Providence County |
| Principal Address: | 593 EDDY STREET, PROVIDENCE, RI, 02903, USA |
| Purpose: | PROVIDES RADIOSURGERY SERVICES TO PATIENTS |
| NAICS: | 621999 - All Other Miscellaneous Ambulatory Health Care Services |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578726261 | 2008-07-03 | 2023-04-26 | 117 ELLENFIELD ST STE 101, PROVIDENCE, RI, 029054541, US | 593 EDDY ST, PHYSICIANS' OFFICE BUILDING, SUITE 130, PROVIDENCE, RI, 029034923, US | |||||||||||||||||||||||||||||||
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| Phone | +1 401-444-6779 |
| Fax | 4014446912 |
| Phone | +1 401-444-5447 |
| Fax | 4014444240 |
Authorized person
| Name | PETER K MARKELL |
| Role | EVP & CFO |
| Phone | 4014447914 |
Taxonomy
| Taxonomy Code | 2085R0001X - Radiation Oncology Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | RAILROAD MEDICARE |
| Number | DP5027 |
| State | RI |
| Issuer | MEDICAID |
| Number | RA78342 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| STEPHEN D. ZUBIAGO, ESQ. | Agent | NIXON PEABODY LLP ONE CITIZENS PLAZA SUITE 500, PROVIDENCE, RI, 02903, USA |
| Name | Role | Address |
|---|---|---|
| SUSAN KORBER | MANAGER | 593 EDDY STREET PROVIDENCE, RI 02903 USA |
| Number | Name | File Date |
|---|---|---|
| 202448944560 | Annual Report | 2024-03-14 |
| 202332361240 | Annual Report | 2023-04-05 |
| 202214024870 | Annual Report | 2022-03-28 |
| 202104388200 | Annual Report | 2021-10-29 |
| 202104403750 | Annual Report | 2021-10-29 |
| 202066296650 | Annual Report | 2020-10-15 |
| 201928160810 | Annual Report | 2019-11-22 |
| 201983862450 | Annual Report | 2019-01-07 |
| 201752711110 | Annual Report | 2017-11-01 |
| 201609394420 | Annual Report | 2016-09-26 |
Date of last update: 10 Oct 2024
Sources: Rhode Island Department of State
