| 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 |
| Fictitious names: |
Remedy 180 Center (trading name, 2018-02-01 - ) |
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
| 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
