| Name: | Thomas Raimondo, DO, Ltd. |
| Jurisdiction: | Rhode Island |
| Entity type: | Professional Service Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 14 Jan 2020 (5 years ago) |
| Identification Number: | 001703579 |
| ZIP code: | 02828 |
| County: | Providence County |
| Principal Address: | ONE FACTORY POND CIRCLE, GREENVILLE, RI, 02828, USA |
| Purpose: | MEDICAL PULMONOLOGY AND ALL OTHER PERMITTED MEDICAL SERVICES |
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 | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710517099 | 2020-01-25 | 2020-05-11 | 1050 WARWICK AVE, WARWICK, RI, 028883655, US | 1050 WARWICK AVE, WARWICK, RI, 028883655, US | |||||||||||||||||||
|
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| Phone | +1 401-467-6210 |
Authorized person
| Name | THOMAS RAIMONDO |
| Role | PHYSICIAN |
| Phone | 4014676210 |
Taxonomy
| Taxonomy Code | 207RP1001X - Pulmonary Disease Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 9003803 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| STEVEN ZAROOGIAN, CPA | Agent | 117 METRO CENTER BOULEVARD SUITE 3000, WARWICK, RI, 02886, USA |
| Name | Role | Address |
|---|---|---|
| THOMAS RAIMONDO | PRESIDENT | ONE FACTORY POND CIRCLE GREENVILLE, RI 02828 USA |
| Name | Role | Address |
|---|---|---|
| THOMAS RAIMONDO | TREASURER | ONE FACTORY POND CIRCLE GREENVILLE, RI 02828 USA |
| Name | Role | Address |
|---|---|---|
| THOMAS RAIMONDO | SECRETARY | ONE FACTORY POND CIRCLE GREENVILLE, RI 02828 USA |
| Name | Role | Address |
|---|---|---|
| THOMAS RAIMONDO | DIRECTOR | ONE FACTORY POND CIRCLE GREENVILLE, RI 02828 USA |
| Number | Name | File Date |
|---|---|---|
| 202451882280 | Annual Report | 2024-04-22 |
| 202333956300 | Annual Report | 2023-04-25 |
| 202224246170 | Annual Report | 2022-10-21 |
| 202224246440 | Statement of Change of Registered/Resident Agent | 2022-10-21 |
| 202224247050 | Annual Report | 2022-10-21 |
| 202224245650 | Reinstatement | 2022-10-21 |
| 202199753600 | Revocation Certificate For Failure to File the Annual Report for the Year | 2021-07-29 |
| 202197016220 | Revocation Notice For Failure to File An Annual Report | 2021-05-19 |
| 202032296590 | Articles of Incorporation | 2020-01-14 |
Date of last update: 27 Oct 2024
Sources: Rhode Island Department of State
