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Cranston East Medical Clinic, LLC

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Company Details

Name: Cranston East Medical Clinic, LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Revoked Entity
Date of Organization in Rhode Island: 30 Apr 2009 (16 years ago)
Date of Dissolution: 22 Apr 2013 (12 years ago)
Date of Status Change: 22 Apr 2013 (12 years ago)
Identification Number: 000506512
ZIP code: 02920
County: Providence County
Purpose: MEDICAL OFFICE
Principal Address: Google Maps Logo 934 PARK AVENUE, CRANSTON, RI, 02920, USA
Mailing Address: Google Maps Logo 402 WOODHAVEN COURT, CRANSTON, RI, 02920, USA

Agent

Name Role Address
WILLIAM CHANG Agent 402 WOODHAVEN COURT, CRANSTON, RI, 02920, USA

National Provider Identifier

NPI Number:
1396977823

Authorized Person:

Name:
DR. WILLIAM C CHANG
Role:
MEDICAL DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
207QA0505X - Adult Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
4019413122

Filings

Number Name File Date
201315504940 Revocation Certificate For Failure to File the Annual Report for the Year 2013-04-22
201308133870 Revocation Notice For Failure to File An Annual Report 2013-01-09
201183198340 Annual Report 2011-09-19
201178962390 Annual Report 2011-05-16
201177529170 Revocation Notice For Failure to File An Annual Report 2011-04-04

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Date of last update: 29 May 2025

Sources: Rhode Island Department of State