| 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) |
| 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
