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ELITE MEDICAL CENTER, LLC

Company Details

Name: ELITE MEDICAL CENTER, LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Activ
Date of Organization in Rhode Island: 03 Dec 2020 (4 years ago)
Identification Number: 001715875
ZIP code: 02911
County: Providence County
Principal Address: 1515 SMITH STREET SUITE A, NORTH PROVIDENCE, RI, 02911, USA
Purpose: MEDICAL OFFICE
NAICS: 621111 - Offices of Physicians (except Mental Health Specialists)

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1902557366 2022-01-17 2022-01-17 1515 SMITH ST STE A, NORTH PROVIDENCE, RI, 029112947, US 1515 SMITH ST STE A, NORTH PROVIDENCE, RI, 029112947, US

Contacts

Phone +1 401-490-9550
Fax 4014909221

Authorized person

Name OLUSEYI ABIOYE-AKANJI
Role OWNER
Phone 4014909550

Taxonomy

Taxonomy Code 171400000X - Health & Wellness Coach
Is Primary No
Taxonomy Code 363LP2300X - Primary Care Nurse Practitioner
Is Primary Yes

Agent

Name Role Address
OLUSEYI G. ABIOYE-AKANJI Agent 1515 SMITH STREET SUITE A, NORTH PROVIDENCE, RI, 02911, USA

Filings

Number Name File Date
202451898650 Annual Report 2024-04-22
202326105500 Annual Report 2023-01-18
202210868450 Annual Report 2022-02-15
202078447750 Articles of Organization 2020-12-03

Date of last update: 28 Oct 2024

Sources: Rhode Island Department of State