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PROVIDENCE MEDICAL SUPPLIES, LLC

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Company Details

Name: PROVIDENCE MEDICAL SUPPLIES, LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Revoked Entity
Date of Organization in Rhode Island: 22 Feb 2017 (8 years ago)
Date of Dissolution: 22 Jul 2019 (6 years ago)
Date of Status Change: 22 Jul 2019 (6 years ago)
Identification Number: 001671203
ZIP code: 02903
County: Providence County
Principal Address: Google Maps Logo 10 DORRANCE STREET SUITE 700, PROVIDENCE, RI, 02903, USA

Agent

Name Role Address
INCORP SERVICES, INC. Agent 222 JEFFERSON BOULEVARD SUITE 200, WARWICK, RI, 02888, USA

Manager

Name Role Address
MATTHEW BAGLEY Manager 10 DORRANCE ST STE 700 PROVIDENCE, RI 02903 USA
MEDICAL USA & INTERNATIONAL GROUP LLC Manager 10 DORRANCE ST STE 700 PROVIDENCE, RI 02903 USA

National Provider Identifier

NPI Number:
1235670282

Authorized Person:

Name:
MUHAMMAD ADEEL
Role:
ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary:
Yes

Contacts:

Fax:
4012648018

Filings

Number Name File Date
201906510000 Revocation Certificate For Failure to File the Annual Report for the Year 2019-07-22
201992615180 Revocation Notice For Failure to File An Annual Report 2019-05-13
201734565870 Articles of Organization 2017-02-22

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Date of last update: 02 Jun 2025

Sources: Rhode Island Department of State