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Infectious Diseases Associates of Rhode Island, LLC

Company Details

Name: Infectious Diseases Associates of Rhode Island, LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Activ
Date of Organization in Rhode Island: 09 Jun 2011 (14 years ago)
Identification Number: 000683545
ZIP code: 02895
County: Providence County
Purpose: TO PROVIDE MEDICAL CARE
Principal Address: Google Maps Logo 115 CASS AVENUE, WOONSOCKET, RI, 02895, USA
Mailing Address: Google Maps Logo 109 AIRPORT ROAD SUITE 8, WARWICK, RI, 02889, USA

Industry & Business Activity

NAICS

621111 Offices of Physicians (except Mental Health Specialists)

This U.S. industry comprises establishments of health practitioners having the degree of M.D. (Doctor of Medicine) or D.O. (Doctor of Osteopathy) primarily engaged in the independent practice of general or specialized medicine (except psychiatry or psychoanalysis) or surgery. These practitioners operate private or group practices in their own offices (e.g., centers, clinics) or in the facilities of others, such as hospitals or HMO medical centers. Learn more at the U.S. Census Bureau

Agent

Name Role Address
RAYMOND M ANDOLFO Agent 109 AIRPORT ROAD SUITE 7, WARWICK, RI, 02889, USA

National Provider Identifier

NPI Number:
1043507734

Authorized Person:

Name:
DR. GLENN G FORT
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
207RI0200X - Infectious Disease Physician
Is Primary:
Yes
Selected Taxonomy:
207RI0200X - Infectious Disease Physician
Is Primary:
No

Contacts:

Fax:
4017671633

Filings

Number Name File Date
202447948730 Annual Report 2024-03-06
202331286760 Annual Report 2023-03-22
202215899990 Annual Report 2022-04-27
202107026280 Annual Report 2021-12-13
202106368200 Revocation Notice For Failure to File An Annual Report 2021-12-03

Date of last update: 30 May 2025

Sources: Rhode Island Department of State