| Name: | LMB Medical, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of Organization in Rhode Island: | 14 Nov 2017 (7 years ago) |
| Date of Dissolution: | 06 Mar 2023 (2 years ago) |
| Date of Status Change: | 06 Mar 2023 (2 years ago) |
| Identification Number: | 001678875 |
| ZIP code: | 02860 |
| County: | Providence County |
| Principal Address: | 127 SCHOOL STREET, PAWTUCKET, RI, 02860, USA |
| Purpose: | TO OWN AND OPERATE A HEALTHCARE/MEDICAL FACILITY |
| NAICS: | 621111 - Offices of Physicians (except Mental Health Specialists) |
| Fictitious names: |
Remedy 180 Center (trading name, 2018-02-01 - ) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1972096923 | 2018-06-13 | 2020-08-03 | 127 SCHOOL ST, PAWTUCKET, RI, 028605305, US | 127 SCHOOL ST, PAWTUCKET, RI, 02860, US | |||||||||||||||||||||||||||||||
|
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| Phone | +1 401-475-3040 |
Authorized person
| Name | S MALATESTA |
| Role | BUSINESS MGR |
| Phone | 7819102833 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1104110030 |
| State | RI |
| Issuer | MEDICAID |
| Number | 1679512354 |
| State | RI |
| Issuer | MEDICAID |
| Number | 1265631972 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| STEPHEN D. ZUBIAGO, ESQ. | Agent | NIXON PEABODY LLP ONE CITIZENS PLAZA SUITE 500, PROVIDENCE, RI, 02903, USA |
| Number | Name | File Date |
|---|---|---|
| 202330127190 | Articles of Dissolution | 2023-03-06 |
| 202215026620 | Annual Report | 2022-04-18 |
| 202101558390 | Annual Report | 2021-09-15 |
| 202059676100 | Annual Report | 2020-09-30 |
| 201922215570 | Annual Report | 2019-10-02 |
| 201922216630 | Annual Report | 2019-10-02 |
| 201922212650 | Reinstatement | 2019-10-02 |
| 201906624310 | Revocation Certificate For Failure to File the Annual Report for the Year | 2019-07-22 |
| 201992534490 | Revocation Notice For Failure to File An Annual Report | 2019-05-13 |
| 201866466030 | Statement of Change of Registered/Resident Agent | 2018-05-21 |
Date of last update: 27 Oct 2024
Sources: Rhode Island Department of State
