| Name: | NEWPORT NEUROLOGIC AND ELECTRODIAGNOSTIC CENTER, P.C. |
| Jurisdiction: | Rhode Island |
| Entity type: | Professional Service Corporation |
| Status: | Dissolved |
| Date of Organization in Rhode Island: | 27 Jan 2009 (16 years ago) |
| Date of Dissolution: | 20 Nov 2015 (9 years ago) |
| Date of Status Change: | 20 Nov 2015 (9 years ago) |
| Identification Number: | 000498900 |
| ZIP code: | 02840 |
| County: | Newport County |
| Principal Address: | 23 POWEL AVENUE, NEWPORT, RI, 02840, USA |
| Purpose: | MEDICAL AND DIAGNOSTIC SERVICES |
| Historical names: |
NEWPORT NEUROLOGICAL AND DIAGNOSTIC CENTER INC. |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1497994826 | 2009-02-09 | 2009-08-14 | 23 POWEL AVE, NEWPORT, RI, 028402671, US | 23 POWEL AVE, NEWPORT, RI, 028402671, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 401-619-5740 |
| Fax | 4016195742 |
Authorized person
| Name | DR. GRACE A MEDEIROS |
| Role | OWNER/PRESIDENT |
| Phone | 4016195740 |
Taxonomy
| Taxonomy Code | 2084N0400X - Neurology Physician |
| License Number | MD09160 |
| State | RI |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GRACE A. MEDEIROS, M.D. | Agent | 133 MORRISON AVENUE, MIDDLETOWN, RI, 02842, USA |
| Name | Role | Address |
|---|---|---|
| GRACE A. MEDEIROS, MD | PRESIDENT | 23 POWEL AVENUE NEWPORT, RI 02840 USA |
| Type | Date | Old Value | New Value |
|---|---|---|---|
| Name Change | 2009-01-29 | NEWPORT NEUROLOGICAL AND DIAGNOSTIC CENTER INC. | NEWPORT NEUROLOGIC AND ELECTRODIAGNOSTIC CENTER, P.C. |
| Number | Name | File Date |
|---|---|---|
| 201588209920 | Articles of Dissolution | 2015-11-20 |
| 201588210430 | Statement of Change of Registered Office by the Registered Agent | 2015-11-20 |
| 201588210250 | Annual Report | 2015-11-20 |
| 201588210160 | Reinstatement | 2015-11-20 |
| 201580278690 | Revocation Certificate For Failure to File the Annual Report for the Year | 2015-09-23 |
| 201565699090 | Registered Office Not Maintained | 2015-07-22 |
| 201565699720 | Revocation Notice For Failure to File An Annual Report | 2015-07-22 |
| 201564633590 | Revocation Notice For Failure to File An Annual Report | 2015-07-09 |
| 201434516370 | Annual Report | 2014-01-29 |
| 201308012030 | Annual Report | 2013-01-08 |
Date of last update: 13 Oct 2024
Sources: Rhode Island Department of State
