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Geriatrics Associates LLC

Company Details

Name: Geriatrics Associates LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Revoked Entity
Date of Organization in Rhode Island: 14 Mar 2011 (14 years ago)
Date of Dissolution: 27 Nov 2012 (12 years ago)
Date of Status Change: 27 Nov 2012 (12 years ago)
Identification Number: 000605272
ZIP code: 02920
County: Providence County
Principal Address: 1150 NEW LONDON AVENUE, CRANSTON, RI, 02920, USA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1043509672 2011-04-05 2011-04-05 1150 NEW LONDON AVE, CRANSTON, RI, 02920, US 1150 NEW LONDON AVE, CRANSTON, RI, 029203036, US

Contacts

Phone +1 401-952-8300

Authorized person

Name ANDREW C MACKO
Role PHYSICIAN ASSISTANT
Phone 4019528300

Taxonomy

Taxonomy Code 363AM0700X - Medical Physician Assistant
Is Primary Yes

Agent

Name Role Address
ANDREW MACKO PAC Agent 1150 NEW LONDON AVENUE, CRANSTON, RI, 02920, USA

Filings

Number Name File Date
201204522840 Miscellaneous Filing (No Fee) 2012-12-05
201204107010 Revocation Certificate For Failure to Maintain a Registered Office 2012-11-27
201297663750 Miscellaneous Filing (No Fee) 2012-09-07
201296497040 Revocation Notice For Failure to Maintain a Registered Office 2012-08-29
201296454980 Registered Office Not Maintained 2012-08-14
201176514320 Articles of Organization 2011-03-14

Date of last update: 15 Oct 2024

Sources: Rhode Island Department of State