| Name: | PRIMARY MEDICAL CENTER AND WALK-IN, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 03 Oct 2013 (11 years ago) |
| Identification Number: | 000842515 |
| ZIP code: | 02914 |
| County: | Providence County |
| Principal Address: | 684 WARREN AVENUE, EAST PROVIDENCE, RI, 02914, USA |
| Purpose: | MEDICAL CENTER |
| NAICS: | 621498 - All Other Outpatient Care Centers |
| Fictitious names: |
Primary Walk-In Medical Center (trading name, 2015-12-11 - ) Primary Laser Skincare (trading name, 2015-12-11 - ) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1225444243 | 2014-07-10 | 2016-06-29 | 684 WARREN AVE, EAST PROVIDENCE, RI, 029141405, US | 684 WARREN AVE, EAST PROVIDENCE, RI, 029141405, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 401-434-0022 |
| Fax | 4014346111 |
Authorized person
| Name | CONSTANTINE VAFIDIS |
| Role | OWNER |
| Phone | 4014340022 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 261QU0200X - Urgent Care Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| CONSTANTINE VAFIDIS | Agent | 684 WARREN AVENUE, EAST PROVIDENCE, RI, 02914, USA |
| Number | Name | File Date |
|---|---|---|
| 202445685880 | Annual Report | 2024-02-06 |
| 202333793950 | Annual Report | 2023-04-24 |
| 202221427220 | Annual Report | 2022-07-19 |
| 202219713490 | Revocation Notice For Failure to File An Annual Report | 2022-06-22 |
| 202207810220 | Annual Report | 2022-01-11 |
| 202106627460 | Revocation Notice For Failure to File An Annual Report | 2021-12-03 |
| 202069221280 | Annual Report | 2020-11-03 |
| 201924294050 | Annual Report | 2019-10-15 |
| 201878024820 | Annual Report | 2018-09-24 |
| 201752073920 | Annual Report | 2017-10-23 |
Date of last update: 18 Oct 2024
Sources: Rhode Island Department of State
