| Name: | Rhode Island Dermatology OBS, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 12 Mar 2007 (18 years ago) |
| Date of Dissolution: | 01 Jun 2015 (10 years ago) |
| Date of Status Change: | 01 Jun 2015 (10 years ago) |
| Identification Number: | 000162471 |
| ZIP code: | 02865 |
| County: | Providence County |
| Principal Address: | 3 WAKE ROBIN ROAD, LINCOLN, RI, 02865, USA |
| Purpose: | TO OPERATE A PHYSICIAN AMBULATORY SURGERY CENTER |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1235202201 | 2006-11-16 | 2022-07-21 | 3 WAKE ROBIN RD, UNIT 5, LINCOLN, RI, 028654208, US | 3 WAKE ROBIN RD, UNIT 5, LINCOLN, RI, 028654208, US | |||||||||||||||||
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| Phone | +1 401-475-9140 |
| Fax | 4014759143 |
Authorized person
| Name | MS. SUSAN SCHUMACHER |
| Role | BILLING MANAGER |
| Phone | 4014759140 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| State | RI |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JAMES P. REDDING, ESQ. | Agent | 27 SAKONNET POINT ROAD, LITTLE COMPTON, RI, 02837, USA |
| Number | Name | File Date |
|---|---|---|
| 201562108270 | Revocation Certificate For Failure to File the Annual Report for the Year | 2015-06-01 |
| 201556539550 | Revocation Notice For Failure to File An Annual Report | 2015-03-04 |
| 201438027340 | Statement of Change of Registered/Resident Agent | 2014-04-04 |
| 201330291650 | Annual Report | 2013-11-01 |
| 201204920510 | Annual Report | 2012-12-13 |
| 201184654980 | Annual Report | 2011-10-28 |
| 201072408570 | Annual Report | 2010-11-22 |
| 200955027840 | Annual Report | 2009-11-13 |
| 200837184160 | Annual Report | 2008-10-28 |
Date of last update: 10 Oct 2024
Sources: Rhode Island Department of State
