| Name: | RHODE ISLAND DIAGNOSTIC CENTER, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 08 Sep 2009 (16 years ago) |
| Date of Dissolution: | 22 Jul 2019 (6 years ago) |
| Date of Status Change: | 22 Jul 2019 (6 years ago) |
| Identification Number: | 000511269 |
| ZIP code: | 02818 |
| County: | Kent County |
| Principal Address: | 58 MAIN STREET SUITE 201, EAST GREENWICH, RI, 02818, USA |
| Mailing Address: | 58 MAIN STREET STE 201, EAST GREENWICH, RI, 02818, USA |
| Purpose: | DIAGNOSTIC LABORATORY |
NAICS
621511 Medical LaboratoriesThis U.S. industry comprises establishments known as medical laboratories primarily engaged in providing analytic or diagnostic services, including body fluid analysis, generally to the medical profession or to the patient on referral from a health practitioner. Learn more at the U.S. Census Bureau
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609114404 | 2013-01-29 | 2013-01-29 | 58 MAIN ST, SUITE 201, EAST GREENWICH, RI, 028183888, US | 58 MAIN ST, SUITE 201, EAST GREENWICH, RI, 028183888, US | |||||||||||||
|
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| Phone | +1 401-622-4488 |
Authorized person
| Name | DR. ALEXANDER E ISTOMIN MD |
| Role | LABORATORY DIRECTOR |
| Phone | 4016224488 |
Taxonomy
| Taxonomy Code | 291U00000X - Clinical Medical Laboratory |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| VICTOR SHUMILKIN | Agent | 58 MAIN STREET SUITE 201, EAST GREENWICH, RI, 02818, USA |
| Number | Name | File Date |
|---|---|---|
| 201906336420 | Revocation Certificate For Failure to File the Annual Report for the Year | 2019-07-22 |
| 201992817700 | Revocation Notice For Failure to File An Annual Report | 2019-05-13 |
| 201856564090 | Annual Report | 2018-01-22 |
| 201627996530 | Annual Report | 2016-11-28 |
| 201578605950 | Annual Report | 2015-09-09 |
| 201449021830 | Annual Report | 2014-10-29 |
| 201327868920 | Annual Report | 2013-09-06 |
| 201323898110 | Statement of Change of Registered/Resident Agent | 2013-06-17 |
| 201322177540 | Annual Report | 2013-06-03 |
| 201322177090 | Annual Report | 2013-06-03 |
Date of last update: 14 Oct 2024
Sources: Rhode Island Department of State
