| Name: | Muehlberg Medical, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 16 Feb 2007 (18 years ago) |
| Date of Dissolution: | 22 Apr 2013 (12 years ago) |
| Date of Status Change: | 22 Apr 2013 (12 years ago) |
| Identification Number: | 000161873 |
| ZIP code: | 02886 |
| County: | Kent County |
| Principal Address: | 1087 WARWICK AVENUE, WARWICK, RI, 02886, USA |
| Purpose: | RENDER MEDICAL SERVICES |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1588854582 | 2007-07-26 | 2007-07-26 | 1087 WARWICK AVE, UNIT 1, WARWICK, RI, 028883545, US | 1087 WARWICK AVE, UNIT 1, WARWICK, RI, 028883545, US | |||||||||||||||||||
|
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| Phone | +1 401-383-7100 |
| Fax | 4013837101 |
Authorized person
| Name | DR. AMI BETH MUEHLBERG |
| Role | PHYSICIAN/OWNER |
| Phone | 4013837100 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | DO00580 |
| State | RI |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CYNTHIA J. WARREN | Agent | 301 PROMENADE STREET, PROVIDENCE, RI, 02908, USA |
| Number | Name | File Date |
|---|---|---|
| 201315467560 | Revocation Certificate For Failure to File the Annual Report for the Year | 2013-04-22 |
| 201308378000 | Revocation Notice For Failure to File An Annual Report | 2013-01-09 |
| 201184426370 | Annual Report | 2011-10-24 |
| 201173500100 | Annual Report | 2011-01-14 |
| 200952829870 | Annual Report | 2009-10-20 |
| 200943788340 | Statement of Change of Registered/Resident Agent Office | 2009-03-11 |
| 200837584960 | Annual Report | 2008-11-05 |
Date of last update: 10 Oct 2024
Sources: Rhode Island Department of State
